Courtney Lynn O'Sullivan, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

OA006700 Issued in PA

Practice address

310 Stock St
Hanover, PA 17331-2276

Phone

(717) 637-1738

NPI assigned

Oct 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Memorial Hospital, York, PA, CCN 390101
• Upmc Hanover Hospital, Hanover, PA, CCN 390233

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cosullivan298760@upmc.direct-ci.com

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.

• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427

  PA

  Medicare reassignment Care Compare group
• Pinnacle Health Regional Physicians

  • Internal Medicine Physician
  • Harrisburg, PA
  • NPI 1013441690

  PA

  Medicare reassignment NPD
• Pinnacle Health Medical Services

  • Gastroenterology Physician
  • Mechanicsburg, PA
  • NPI 1295552073
  NPD
• Pinnacle Health Medical Services

  • Pediatric Critical Care Medicine Physician
  • Lemoyne, PA
  • NPI 1982210894
  NPD
• Pinnacle Health Regional Physicians

  • Family Medicine Physician
  • Stewartstown, PA
  • NPI 1982133369
  NPD
• Pinnacle Health Medical Services

  • Endocrinology, Diabetes & Metabolism Physician
  • Mechanicsburg, PA
  • NPI 1518918523
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Hanover

  • Clinic/Center
  • Hanover, PA
  • NPI 1700084944

  Hospital

  Care Compare affiliation
• Upmc Hanover

  • General Acute Care Hospital
  • Hanover, PA
  • NPI 1730158981

  Hospital

  Care Compare affiliation
• Upmc Memorial

  • General Acute Care Hospital
  • York, PA
  • NPI 1063945707

  Hospital

  Care Compare affiliation
• Upmc Memorial

  • Ambulatory Surgical Clinic/Center
  • York, PA
  • NPI 1235664186

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1093597445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 STOCK ST STE 3",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312276",
            "telephone_number": "717-637-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STOCK ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312276",
            "telephone_number": "717-637-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-19",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA006700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cosullivan261699@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "310 Stock St",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173312276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Novak
• Angela Hope O'Brien, BCBA
• Kathryn O'Brien
• Samantha O'Brien
• Glenda O'Regan
• Ryan Oberholtzer
• Emeka Obiriibe, PHARMD
• Obstetric & Gynecologic Associates of Hanover, Inc.
• Adewale Ayodeji Oladapo, PHAR.D
• Old Post Wellness, LLC

• Medical Physician Assistant in Hanover, PA
• Providers in Hanover, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.

Verify at the official NPI Registry.