Individual provider Active NPI

Nicole Lea Branham

  • Women's Health Nurse Practitioner
  • York, PA
National Provider Identifier
1073154308
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP020701 Issued in PA
Practice address
2050 S Queen St Ste 200
York, PA 17403-4829
Phone
(717) 812-2316
Fax
(717) 848-5540
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP020701 PA Primary

Addresses

Primary practice location

2050 S Queen St Ste 200
York, PA 17403-4829

Mailing address

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

Other practice location 1

1001 S George St
York, PA 17403-3676
Phone (717) 851-2348

Other practice location 2

450 S Washington St Ste B
Gettysburg, PA 17325-2500
Phone (717) 337-4487

Other names 1

  • Nicole Thomas Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nthomas63810@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
I20191112001018 PA Practitioner - Nurse Practitioner 9234561374 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
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)

450 S Washington St
Suite B
Gettysburg, PA 17325-2500
Phone (866) 925-0991

Hospital & facility affiliations

  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
  • Wellspan York Hospital Hospital, York, PA, CCN 390046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020701PAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Oct 28, 2019 Accepting new patients
Wellspan Medical Group CurrentSince Jan 14, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Oct 28, 2019 Accepting new patients
York Hospital Current Accepting new patients
Wellspan Medical Group Current Accepting new patients
York Hospital CurrentSince Apr 1, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Jan 14, 2024 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
York Hospital CurrentSince Apr 1, 2021 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

450 S Washington St
Ste B
Gettysburg, PA 17325
Phone (717) 337-4487

450 S Washington St
Gettysburg, PA 17325
Phone (717) 337-4487

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

1101 Edgar St
York, PA 17403
Phone (717) 812-4602

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

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

1880 Kenneth Rd
Ste 3
York, PA 17408
Phone (717) 291-6752

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

2050 S Queen St
#200
York, PA 17403
Phone (717) 812-2316

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

1001 S George St
York, PA 17403
Phone (717) 812-7687

1101 Edgar St
#E
York, PA 17403
Phone (717) 812-4602

Interoperability endpoints

  • Direct secure messaging: nthomas102810@wellspan.direct-ci.com

Organizations & group practices 10

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1073154308",
    "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": "2050 S QUEEN ST STE 200",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034829",
            "telephone_number": "717-812-2316",
            "fax_number": "717-848-5540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-851-2348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Washington St Ste B",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252500",
            "country_code": "US",
            "telephone_number": "717-337-4487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "NICOLE",
        "middle_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP020701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nthomas63810@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1880 Kenneth Rd Ste 3",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174086344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "THOMAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.