Individual provider Active NPI

Owen Dubbs, CRNP

  • Family Nurse Practitioner
  • York, PA
National Provider Identifier
1104541614
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP026407 Issued in PA
Practice address
35 Monument Rd Ste 201
York, PA 17403-5074
Phone
(717) 812-4083
Fax
(717) 812-2244
NPI assigned
Oct 6, 2022
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP026407 PA Primary

Addresses

Primary practice location

35 Monument Rd Ste 201
York, PA 17403-5074

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 812-4083

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221125000314 PA Practitioner - Nurse Practitioner 3577931427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 234-2561

629 D Lowther Rd
Lewisberry, PA 17339-9527
Phone (717) 932-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Dec 1, 2024 Accepting new patients
Quantum Imaging & Therapeutic Associates Inc CurrentSince Dec 1, 2024 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Dec 1, 2024 Accepting new patients
Pinnacle Health Cardiovascular Institute Inc CurrentSince Nov 20, 2022 Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2461

360 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-6557

51 Business Campus Way
Ste 100
Duncannon, PA 17020
Phone (717) 834-3280

2808 Old Post Rd
Harrisburg, PA 17110
Phone (717) 591-7122

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

629D Lowther Rd
Lewisberry, PA 17339
Phone (717) 938-2765

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

35 Monument Rd
Ste 201
York, PA 17403
Phone (717) 812-3712

Organizations & group practices 5

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 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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1104541614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-812-4083",
            "fax_number": "717-812-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MONUMENT RD STE 201",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035074",
            "telephone_number": "717-812-4083",
            "fax_number": "717-812-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBBS",
        "first_name": "OWEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-06",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.