Individual provider Active NPI

Mary Elana Regan, MSN, RN, CRNP,FNP-BC

  • Family Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1134447998
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP010781 Issued in PA
Practice address
1695 Oregon Pike
Lancaster, PA 17603-4154
Phone
(717) 490-6227
Fax
(833) 389-1700
NPI assigned
May 4, 2010
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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 SP010781 PA Primary

Addresses

Primary practice location

1695 Oregon Pike
Lancaster, PA 17603-4154

Mailing address

1695 Oregon Pike
Lancaster, PA 17601-4154
Phone (717) 490-6227

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
I20100610000816 PA Practitioner - Nurse Practitioner 9739219197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
SP010781PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Accident and Injury Rehab CurrentSince Jul 25, 2021 Accepting new patients
Hershey Orthopedic & Spine Rehabilitation LLC PastSince Mar 1, 2020 Accepting new patients

Locations

1695 Oregon Pike
Lancaster, PA 17601
Phone (717) 208-5214

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.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1134447998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 OREGON PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014154",
            "telephone_number": "717-490-6227",
            "fax_number": "833-389-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 OREGON PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034154",
            "telephone_number": "717-490-6227",
            "fax_number": "833-389-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "MARY",
        "middle_name": "ELANA",
        "name_prefix": "Dr.",
        "credential": "MSN, RN, CRNP,FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.