Individual provider Active NPI

Nicholas A Buckwalter, MD

  • Family Medicine Physician
  • Myerstown, PA
National Provider Identifier
1093009995
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD450204 Issued in PA
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

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140815000708 PA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 8325265333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Virginia School of Medicine, 2011
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)

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

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD450204PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Sep 8, 2014 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.