Individual provider Active NPI

Lacey Marie Saurbaugh, CRNP

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1023776838
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP024302 Issued in PA
Practice address
1735 Rockvale Rd
Lancaster, PA 17602-1313
Phone
(717) 413-6400
NPI assigned
Nov 30, 2021
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP024302 PA Primary

Addresses

Primary practice location

1735 Rockvale Rd
Lancaster, PA 17602-1313

Mailing address

1135 Hampstead Drive
Strasburg, PA 17602

Other identifiers 1

IdentifierTypeStateIssuer
SP024302OtherPAPA STATE BOARD OF NURSING

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Lacey.saurbaugh@pennmedicine.UPenn.edu
Direct Messaging Address Lacey.saurbaugh@pennmedicine.UPenn.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220502000276 PA Practitioner - Nurse Practitioner 9830586387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Family Medicine CurrentSince Mar 6, 2022 Accepting new patients
Lancaster General Medical Group CurrentSince Mar 6, 2022 Accepting new patients
Lancaster General Medical Group Current Accepting new patients

Locations

1097 Commercial Ave
East Petersburg, PA 17520
Phone (717) 544-1952

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

505 Historic Dr
Strasburg, PA 17579
Phone (717) 464-1957

Interoperability endpoints

  • Direct secure messaging: lacey.saurbaugh@pennmedicine.upenn.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1023776838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 HAMPSTEAD DRIVE",
            "city": "STRASBURG",
            "state": "PA",
            "postal_code": "17602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 ROCKVALE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176021313",
            "telephone_number": "717-413-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAURBAUGH",
        "first_name": "LACEY",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP024302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE BOARD OF NURSING",
            "identifier": "SP024302",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lacey.saurbaugh@pennmedicine.UPenn.edu",
            "affiliation": "N",
            "address_1": "1735 Rockvale Rd",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176021313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lacey.saurbaugh@pennmedicine.UPenn.edu",
            "affiliation": "N",
            "address_1": "1735 Rockvale Rd",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176021313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.