Individual provider Active NPI

Creston M Tate, DO

  • Family Medicine Physician
  • York, PA
National Provider Identifier
1043280704
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS009556L Issued in PA
Practice address
2149 S Queen St
York, PA 17403-4845
Phone
(717) 356-4460
Fax
(717) 260-3326
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 009556L PA
Family Medicine Physician 207Q00000X OS009556L PA Primary

Addresses

Primary practice location

2149 S Queen St
York, PA 17403-4845

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

455 S Washington St Ste 12
Gettysburg, PA 17325-2516
Phone (717) 339-2875

Other practice location 2

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5088

Other practice location 3

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 593-0512

Other practice location 4

717 Town Center Dr
York, PA 17408-4824
Phone (717) 356-4240

Other practice location 5

9 Nathan Ln
Annville, PA 17003-6500
Phone (717) 639-3350

Other practice location 6

441 Country Club Rd
York, PA 17403-3614
Phone (717) 849-1615

Other practice location 7

96 Sofia Dr Ste 208
Shrewsbury, PA 17361-5201
Phone (717) 812-2400

Other practice location 8

446 N Reading Rd
Ephrata, PA 17522-9802
Phone (717) 738-5275

Other practice location 9

101 W Airport Rd
Lititz, PA 17543-9274
Phone (717) 466-2445

Other practice location 10

1000 Norland Ave
Chambersburg, PA 17201-4229
Phone (717) 267-6363

Other practice location 11

46 Walnut Bottom Rd Ste 100
Shippensburg, PA 17257-8219
Phone (717) 477-2764

Other practice location 12

4050 N George Street Ext
Manchester, PA 17345-9347
Phone (717) 356-4370

Other practice location 13

100 Eisenhower Dr Ste 360
Hanover, PA 17331-5241
Phone (717) 646-4201

Other practice location 14

7095 Westbranch Hwy Ste 1000
Lewisburg, PA 17837-6864
Phone (570) 523-3006

Other identifiers 2

IdentifierTypeStateIssuer
0016452150010MedicaidPA
0016452150004MedicaidPA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109000822 PA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4082809694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

2149 S Queen St
Wellspan Urgent Care
York, PA 17403-4845
Phone (717) 356-4460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
009556LPAMDEmergency Medicine Physician
OS009556LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Aug 8, 2016 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Aug 8, 2016 Accepting new patients
Wellspan Medical Group PastSince Oct 5, 2025 Accepting new patients
Wellspan Medical Group Family Medicine PastSince Nov 18, 2025 Accepting new patients

Locations

9 Nathan Ln
Annville, PA 17003
Phone (717) 639-3350

1000 Norland Ave
Chambersburg, PA 17201
Phone (717) 267-6363

446 N Reading Rd
Ephrata, PA 17522
Phone (717) 738-4334

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

455 S Washington St
Ste 12
Gettysburg, PA 17325
Phone (717) 334-1800

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

100 Eisenhower Dr
Ste 360
Hanover, PA 17331
Phone (717) 646-4201

100 Eisenhower Dr
Hanover, PA 17331
Phone (717) 646-4201

7095 Westbranch Hwy
Ste 1000
Lewisburg, PA 17837
Phone (570) 523-3006

101 W Airport Rd
Lititz, PA 17543
Phone (717) 466-2445

4050 N George Street Ext
Manchester, PA 17345
Phone (717) 356-4370

435 S Kinzer Ave
Ste 9
New Holland, PA 17557
Phone (717) 351-2419

46 Walnut Bottom Rd
#100
Shippensburg, PA 17257
Phone (717) 477-2764

46 Walnut Bottom Rd
Shippensburg, PA 17257
Phone (717) 477-2764

96 Sofia Dr
Ste 208
Shrewsbury, PA 17361
Phone (717) 812-2400

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

717 Town Center Dr
York, PA 17408
Phone (717) 356-4240

2250 E Market St
York, PA 17402
Phone (717) 812-6670

2149 S Queen St
York, PA 17403
Phone (717) 356-4460

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: ctate14236@wellspan.direct-ci.com

Organizations & group practices 5

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

Hospital & facility affiliations 6

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1043280704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034845",
            "telephone_number": "717-356-4460",
            "fax_number": "717-260-3326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 S Washington St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252516",
            "country_code": "US",
            "telephone_number": "717-339-2875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5088",
            "fax_number": "717-857-2515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-593-0512",
            "fax_number": "717-839-6810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174084824",
            "country_code": "US",
            "telephone_number": "717-356-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Nathan Ln",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "PA",
            "postal_code": "170036500",
            "country_code": "US",
            "telephone_number": "717-639-3350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033614",
            "country_code": "US",
            "telephone_number": "717-849-1615",
            "fax_number": "717-849-1601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 Sofia Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "PA",
            "postal_code": "173615201",
            "country_code": "US",
            "telephone_number": "717-812-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "446 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229802",
            "country_code": "US",
            "telephone_number": "717-738-5275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175439274",
            "country_code": "US",
            "telephone_number": "717-466-2445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Norland Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014229",
            "country_code": "US",
            "telephone_number": "717-267-6363",
            "fax_number": "717-839-6421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Walnut Bottom Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172578219",
            "country_code": "US",
            "telephone_number": "717-477-2764",
            "fax_number": "717-839-6951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4050 N George Street Ext",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "PA",
            "postal_code": "173459347",
            "country_code": "US",
            "telephone_number": "717-356-4370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Eisenhower Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173315241",
            "country_code": "US",
            "telephone_number": "717-646-4201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7095 Westbranch Hwy Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376864",
            "country_code": "US",
            "telephone_number": "570-523-3006",
            "fax_number": "570-523-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "CRESTON",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "009556L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009556L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016452150010",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016452150004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.