Active NPI
Nicholas A Buckwalter, MD
- Family Medicine Physician
- Myerstown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD450204
- Practice address
- 6 Perri Ave
Myerstown, PA 17067-3200 - Phone
- (717) 949-6581
- Fax
- (717) 949-2816
- NPI assigned
- Jun 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD450204 | PA | |
| Family Medicine Physician | 207Q00000X | MD450204 | PA | Primary |
Addresses
Primary practice location
6 Perri Ave
Myerstown, PA 17067-3200
Mailing address
116 S George St
York, PA 17401-1474
Phone (717) 845-8617
Other practice location 1
720 Norman Dr
Lebanon, PA 17042-7481
Phone (717) 639-3230
Other practice location 2
2050 S Queen St Ste 100
York, PA 17403-4829
Phone (717) 812-4240
Other practice location 3
30 N 4th St # 2
Lebanon, PA 17046-5606
Phone (717) 274-0474
Other practice location 4
107 W End Dr
Manheim, PA 17545-9320
Phone (717) 721-4860
Other practice location 5
300 Willow St
Lebanon, PA 17046-4871
Phone (717) 356-2222
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Virginia School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Monument Rd
York, PA 17403-5073
252 S 4TH St
Lebanon, PA 17042-6111
252 S 4TH St 2ND FL
Wellspan Cardiothoracic Surgery
Lebanon, PA 17042-6111
Phone (717) 270-3751
252 S 4TH St FL
2 Wellspan Thoracic Surgery
Lebanon, PA 17042-6111
Phone (717) 812-4095
252 S 4TH Street 2ND Floor
Wellspan Vascular Surgery
Lebanon, PA 17042-6111
Phone (717) 270-3751
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
30 N 4TH St
2 Wellspan Family Medicine North Fourth STR
Lebanon, PA 17046-5606
Phone (717) 272-2940
30 N 4TH Street 1St Floor
Wellspan Physiatry
Lebanon, PA 17046-5606
Phone (717) 270-7500
6 Perri Ave
Myerstown, PA 17067-3200
Phone (717) 949-6581
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD450204 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Wellspan Medical Group | Family Medicine | Past | Accepting new patients |
Locations
175 Martin Ave
Ste 125
Ephrata, PA 17522
Phone (717) 812-4602
30 N 4th St
#2
Lebanon, PA 17046
Phone (717) 270-2374
720 Norman Dr
Lebanon, PA 17042
Phone (717) 279-6700
107 W End Dr
Manheim, PA 17545
Phone (717) 664-4980
6 Perri Ave
Ste 200
Myerstown, PA 17067
6 Perri Ave
Myerstown, PA 17067
Phone (717) 949-6581
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
2050 S Queen St
#100
York, PA 17403
Phone (717) 812-4240
Interoperability endpoints
- nbuckwalter14094@wellspan.direct-ci.com
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 and National Provider Directory roles.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Ephrata Community Hospital
- General Acute Care Hospital
- Ephrata, PA
- NPI 1083615587
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1558558064
-
dba Ephrata Hospitalist Group
- Hospitalist Physician
- Ephrata, PA
- NPI 1700023041
-
dba WellSpan Ephrata Community Hospital
- Clinic/Center
- Ephrata, PA
- NPI 1548423684
Hospital
-
dba WellSpan Good Samaritan Hospital
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
dba WellSpan Good Samaritan Hospital
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
-
dba WellSpan Good Samaritan Hospital
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1093009995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174011474",
"telephone_number": "717-845-8617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PERRI AVE",
"city": "MYERSTOWN",
"state": "PA",
"postal_code": "170673200",
"telephone_number": "717-949-6581",
"fax_number": "717-949-2816"
}
],
"practiceLocations": [
{
"address_1": "720 Norman Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170427481",
"country_code": "US",
"telephone_number": "717-639-3230",
"fax_number": "717-274-1659",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2050 S Queen St Ste 100",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174034829",
"country_code": "US",
"telephone_number": "717-812-4240",
"fax_number": "717-848-5520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 N 4th St # 2",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170465606",
"country_code": "US",
"telephone_number": "717-274-0474",
"fax_number": "717-270-2374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "107 W End Dr",
"address_purpose": "LOCATION",
"city": "Manheim",
"state": "PA",
"postal_code": "175459320",
"country_code": "US",
"telephone_number": "717-721-4860",
"fax_number": "717-664-5028",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Willow St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170464871",
"country_code": "US",
"telephone_number": "717-356-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCKWALTER",
"first_name": "NICHOLAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-08",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD450204",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD450204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myerstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.