Individual provider Active NPI

Joshua J Wethli, CRNP

  • Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1063710911
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP010948 Issued in PA
Practice address
49 Prince St
Harrisburg, PA 17109-3113
Phone
(717) 901-3440
NPI assigned
Mar 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP010948 PA Primary

Addresses

Primary practice location

49 Prince St
Harrisburg, PA 17109-3113

Mailing address

49 Prince St
Harrisburg, PA 17109-3113
Phone (717) 901-3440

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
I20110516000036 PA Practitioner - Nurse Practitioner 3072799709 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Health Concepts Inc CurrentSince Jun 22, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Aspire Health Concepts, Inc Past Accepting new patients

Locations

49 Prince St
Harrisburg, PA 17109
Phone (717) 545-1717

4800 Linglestown Rd
Ste 104
Harrisburg, PA 17112

4800 Linglestown Rd
Ste 100
Linglestown, PA 17112
Phone (401) 266-9597

Interoperability endpoints

  • Direct secure messaging: joshua.wethli.1@15936.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15936/brand/8/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1063710911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PRINCE ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171093113",
            "telephone_number": "717-901-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PRINCE ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171093113",
            "telephone_number": "717-901-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHLI",
        "first_name": "JOSHUA",
        "middle_name": "J",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-02",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.