NPIMap

Individual provider Active NPI

Christian Herbster

  • Physician Assistant
  • Wellsboro, PA
National Provider Identifier
1033968292
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7 Water St
Wellsboro, PA 16901-1126
Phone
(570) 724-1010
NPI assigned
May 17, 2024
Last updated
May 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

7 Water St
Wellsboro, PA 16901-1126

Mailing address

132 W Church St
Nanticoke, PA 18634-2207
Phone (570) 328-5723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813001551 PA Practitioner - Physician Assistant 2769920453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

103 Forestview Ave
Elkland, PA 16920-1403
Phone (814) 258-5117

32 Central Ave
Wellsboro, PA 16901-1899
Phone (570) 723-7764

416 S Main St
Mansfield Laurel Health Center
Mansfield, PA 16933-1510
Phone (570) 662-2002

6 Riverside PLZ
Blossburg, PA 16912-1137
Phone (570) 638-2174

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Penn Comprehensive Health Services CurrentSince Sep 9, 2024 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant CurrentSince Nov 1, 2025 Accepting new patients
North Penn Comprehensive Health Services CurrentSince Sep 9, 2024 Accepting new patients
North Penn Comprehensive Health Services Past Accepting new patients
North Penn Comprehensive Health Services Past Accepting new patients
North Penn Comprehensive Health Services Past Accepting new patients
North Penn Comprehensive Health Services Physician Assistant Past Accepting new patients
North Penn Comprehensive Health Services Past Accepting new patients
North Penn Comprehensive Health Services Past Accepting new patients

Locations

6 Riverside Plz
Blossburg, PA 16912
Phone (570) 638-2174

103 Forestview Ave
Elkland, PA 16920
Phone (814) 258-5117

32 E Lawrence Rd
Lawrenceville, PA 16929
Phone (570) 827-0125

40 W Wellsboro St
Mansfield, PA 16933
Phone (570) 662-1945

416 S Main St
Mansfield, PA 16933
Phone (570) 662-1900

410 Main St
Ste 102
Towanda, PA 18848
Phone (570) 266-5882

45 Mud Creek Rd
Troy, PA 16947
Phone (570) 297-3746

7 Water St
Wellsboro, PA 16901
Phone (570) 724-1010

236 E Main St
Westfield, PA 16950
Phone (814) 367-5911

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1033968292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W CHURCH ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186342207",
            "telephone_number": "570-328-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WATER ST",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011126",
            "telephone_number": "570-724-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBSTER",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsboro, PA

Sources for this page

Verify at the official NPI Registry.