Active NPI
Rachelle Lynn Ambrose, MD
- Pediatrics Physician
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD418846
- Practice address
- 2050 S Queen St
Ste 100
York, PA 17403-4829 - Phone
- (717) 812-4240
- Fax
- (717) 848-5520
- NPI assigned
- Jun 30, 2006
- Last updated
- Mar 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD418846 | PA | Primary |
Addresses
Primary practice location
2050 S Queen St
Ste 100
York, PA 17403-4829
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
4020 Carlisle Rd
Dover, PA 17315-3508
Phone (717) 812-4240
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 281434 | Other | PA | MAMSI-WMG |
| 03163601 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 104591 | Other | PA | JOHNS HOPKINS |
| 20016261 | Other | PA | AMERIHEALTH MERCY-WMG CRD |
| 20015715 | Other | PA | AMERIHEALTH MERCY-WMG QST |
| P004690 | Other | PA | GATEWAY-WMG |
| 129798 | Other | PA | UNISON-WMG |
| 100433 | Other | PA | GEISINGER |
| 1392227 | Other | PA | HIGHMARK BLUE SHIELD |
| 7909460 | Other | PA | AETNA |
| 001886774 | Medicaid | PA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Apple Hill Surgical Center Partners | Current | Accepting new patients |
Locations
1600 S George St
York, PA 17403
Phone (717) 848-3615
1620 S Queen St
York, PA 17403
Phone (717) 843-6663
1803 Mount Rose Ave
Ste B3
York, PA 17403
Phone (717) 851-6816
2050 S Queen St
#100
York, PA 17403
Phone (717) 812-4240
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
4020 Carlisle Rd
York, PA 17315
Phone (717) 812-4240
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Interoperability endpoints
- rambrose13792@wellspan.direct-ci.com
Organizations & group practices 3
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.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba Apple Hill Surgical Center
- Ambulatory Surgical Clinic/Center
- York, PA
- NPI 1801892724
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1114956612",
"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": "2050 S QUEEN ST",
"address_2": "STE 100",
"city": "YORK",
"state": "PA",
"postal_code": "174034829",
"telephone_number": "717-812-4240",
"fax_number": "717-848-5520"
}
],
"practiceLocations": [
{
"address_1": "4020 Carlisle Rd",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "PA",
"postal_code": "173153508",
"country_code": "US",
"telephone_number": "717-812-4240",
"fax_number": "717-851-6460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMBROSE",
"first_name": "RACHELLE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD418846",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI-WMG",
"identifier": "281434",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "03163601",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "104591",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG CRD",
"identifier": "20016261",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG QST",
"identifier": "20015715",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "P004690",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG",
"identifier": "129798",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "100433",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1392227",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7909460",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001886774",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
- Brittany Alwine
- Courtney Marie Alwood, LPC
- Jennifer Alwood
- Whitney Meredith Amato, PA-C
- Erika Lorena Amaya-Rojas, SLP
- Amedco Pennsylvania LLC (Apple Hill Eye Center)
- Amedisys Pennsylvania, LLC (Amedisys Home Health)
- America's Best Contacts & Eyeglasses
- American Current Care PA (Concentra Urgent Care)
- American Current Care PA PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.