Individual provider Active NPI

Erin Brielle Grissinger, CPNP-PC

  • Pediatric Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1073213245
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP027265 Issued in PA
Practice address
1725 Oregon Pike Ste A100
Lancaster, PA 17601-4206
Phone
(717) 569-8518
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP027265 PA Primary

Addresses

Primary practice location

1725 Oregon Pike Ste A100
Lancaster, PA 17601-4206

Mailing address

208 N President Ave Apt E3
Lancaster, PA 17603-3137

Other names 1

  • Erin Brielle Wee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP027265PAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Park Pediatric Associates, LLP PastSince Mar 12, 2023 Accepting new patients

Organizations & group practices 1

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": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1073213245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N PRESIDENT AVE APT E3",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 OREGON PIKE STE A100",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014206",
            "telephone_number": "717-569-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISSINGER",
        "first_name": "ERIN",
        "middle_name": "BRIELLE",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP027265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "WEE",
            "middle_name": "BRIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.