Individual provider Active NPI

Judith Ann Schambach, CRNP

  • Family Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1063472975
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP006603B Issued in PA
Practice address
320 Market St Ste 165
Harrisburg, PA 17101-2225
Phone
(717) 988-9330
Fax
(717) 221-5690
NPI assigned
Mar 24, 2006
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP006603B PA Primary
Registered Nurse 163W00000X RN25521L PA

Addresses

Primary practice location

320 Market St Ste 165
Harrisburg, PA 17101-2225

Mailing address

320 Market St Ste 165
Harrisburg, PA 17101-2225
Phone (717) 988-9330

Other identifiers 1

IdentifierTypeStateIssuer
103001659MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jschambach5934@phsdirect.pinnaclehealth.org

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
I20040913000758 PA Practitioner - Nurse Practitioner 1355318031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

320 Market St
Suite 165
Harrisburg, PA 17101-2225
Phone (717) 988-9330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN25521LPAMDRegistered Nurse
SP006603BPAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jul 6, 2004 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 6, 2004 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

320 Market St
Ste 165
Harrisburg, PA 17101
Phone (717) 988-9330

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

Organizations & group practices 4

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 7

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1063472975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MARKET ST STE 165",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012225",
            "telephone_number": "717-988-9330",
            "fax_number": "717-221-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MARKET ST STE 165",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012225",
            "telephone_number": "717-988-9330",
            "fax_number": "717-221-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAMBACH",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP006603B",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN25521L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103001659",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jschambach5934@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "320 Market St Ste 165",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171012225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.