Individual provider Active NPI

Sandra K Charles, D.O.

  • Family Medicine Physician
  • Selinsgrove, PA
National Provider Identifier
1093734436
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS008937L Issued in PA
Practice address
935 Route 522
Selinsgrove, PA 17870-9714
Phone
(570) 372-6102
Fax
(570) 372-6110
NPI assigned
Jul 18, 2006
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS008937L PA Primary

Addresses

Primary practice location

935 Route 522
Selinsgrove, PA 17870-9714

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

964 Carpenter Rd
Milton, PA 17847-7527
Phone (570) 742-2300

Other practice location 2

3 Hospital Dr Ste 214
Lewisburg, PA 17837-9394
Phone (570) 542-4242

Other practice location 3

7095 Westbranch Hwy Ste 1000
Lewisburg, PA 17837-6864
Phone (570) 523-3006

Other practice location 4

112 Ironstone Dr
Northumberland, PA 17857-8543
Phone (570) 473-0545

Other practice location 5

412 W Market St
Middleburg, PA 17842-1076
Phone (570) 837-6163

Other practice location 6

101 Meadow Green Dr
Mifflinburg, PA 17844-9300
Phone (570) 966-1122

Other identifiers 9

IdentifierTypeStateIssuer
02185103OtherPABLUE CROSS
02185103OtherPAKEYSTONE
118438702OtherPADEPARTMENT OF LABOR
15357C3AAOtherPAGEISINGER
232809429OtherPATRICARE
G38215OtherPAHEALTH AMERICA
P00121999OtherPARAILROAD MEDICARE
0016096200008MedicaidPA
894313OtherPABLUE SHIELD

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
I20060426000843 PA Practitioner - Family Practice 0244240836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264

101 Meadow Green Dr
Mifflinburg, PA 17844-9300
Phone (570) 966-1122

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

25 Monument Rd
York, PA 17403-5073

3 Hospital Dr
Lewisburg, PA 17837-9394

412 W Market St
Wellspan Family Medicine
Middleburg, PA 17842-1076
Phone (570) 837-6163

935 Route 522
Selinsgrove, PA 17870-9714
Phone (570) 372-6102

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evangelical Medical Services Organization CurrentSince Jul 1, 2006 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Evangelical Medical Services Organization Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Evangelical Medical Services Organization CurrentSince Jul 1, 2006 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110

130 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-4110

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

3 Hospital Dr
Ste 214
Lewisburg, PA 17837
Phone (570) 524-4242

3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007

7095 Westbranch Hwy
Ste 1000
Lewisburg, PA 17837
Phone (570) 523-3006

412 W Market St
Middleburg, PA 17842
Phone (570) 837-6163

101 Meadow Green Dr
Mifflinburg, PA 17844
Phone (570) 966-1122

964 Carpenter Rd
Milton, PA 17847
Phone (570) 742-2300

112 Ironstone Dr
Northumberland, PA 17857
Phone (570) 473-0545

935 Route 522
Selinsgrove, PA 17870
Phone (570) 372-6102

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: scharles481927@wellspan.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1093734436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 ROUTE 522",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178709714",
            "telephone_number": "570-372-6102",
            "fax_number": "570-372-6110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "964 Carpenter Rd",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "PA",
            "postal_code": "178477527",
            "country_code": "US",
            "telephone_number": "570-742-2300",
            "fax_number": "570-742-6276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Hospital Dr Ste 214",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379394",
            "country_code": "US",
            "telephone_number": "570-542-4242",
            "fax_number": "570-542-4201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7095 Westbranch Hwy Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376864",
            "country_code": "US",
            "telephone_number": "570-523-3006",
            "fax_number": "570-523-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Ironstone Dr",
            "address_purpose": "LOCATION",
            "city": "Northumberland",
            "state": "PA",
            "postal_code": "178578543",
            "country_code": "US",
            "telephone_number": "570-473-0545",
            "fax_number": "570-473-7410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 W Market St",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "PA",
            "postal_code": "178421076",
            "country_code": "US",
            "telephone_number": "570-837-6163",
            "fax_number": "570-837-7224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Meadow Green Dr",
            "address_purpose": "LOCATION",
            "city": "Mifflinburg",
            "state": "PA",
            "postal_code": "178449300",
            "country_code": "US",
            "telephone_number": "570-966-1122",
            "fax_number": "570-966-1182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "SANDRA",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008937L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02185103",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "02185103",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "118438702",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "15357C3AA",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "232809429",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "G38215",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00121999",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016096200008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "894313",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selinsgrove, PA

Sources for this page

Verify at the official NPI Registry.