Individual provider Active NPI

Michael D Lance, MD

  • Psychiatry Physician
  • Wernersville, PA
National Provider Identifier
1073655304
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD427220 Issued in PA
Practice address
160 Main St
Wernersville, PA 19565-9490
Phone
(610) 678-3411
NPI assigned
Feb 13, 2007
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00047571 WA
Psychiatry Physician 2084P0800X 12684 ND
Psychiatry Physician 2084P0800X MED-PHYS-LIC-33317 MT
Psychiatry Physician 2084P0800X DR.0069079 CO
Psychiatry Physician 2084P0800X MD427220 PA Primary

Addresses

Primary practice location

160 Main St
Wernersville, PA 19565-9490

Mailing address

1750 152ND Ave NE Apt C203
Bellevue, WA 98007-4270
Phone (425) 229-4445

Other practice location 1

7720 E Belleview Ave Ste B300
Greenwood Village, CO 80111-2615
Phone (303) 942-0512

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
I20060126000878 PA Practitioner - Psychiatry 9335163765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
George Washington University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

160 Main St
Wernersville, PA 19565-9490
Phone (610) 670-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-33317MTMDPsychiatry Physician
MD427220PAMDPsychiatry Physician
MD00047571WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Department of Public Welfare CurrentSince Feb 27, 2023 Accepting new patients
Pennsylvania Department of Human Services CurrentSince Feb 27, 2023 Accepting new patients
A Stepping Stone, LLC Psychiatry Past Accepting new patients
A Stepping Stone, LLC Psychiatry PastSince Aug 6, 2023 Accepting new patients

Locations

160 Main St
Wernersville, PA 19565
Phone (610) 670-4100

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1073655304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 152ND AVE NE APT C203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074270",
            "telephone_number": "425-229-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MAIN ST",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195659490",
            "telephone_number": "610-678-3411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7720 E Belleview Ave Ste B300",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112615",
            "country_code": "US",
            "telephone_number": "303-942-0512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCE",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00047571",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ND",
            "license": "12684",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "MED-PHYS-LIC-33317",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0069079",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD427220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wernersville, PA

Sources for this page

Verify at the official NPI Registry.