Individual provider Active NPI

Jonathan David Sanger, CRNP

  • Family Nurse Practitioner
  • Lebanon, PA
National Provider Identifier
1134699465
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019656 Issued in PA
Practice address
920 Church St
Lebanon, PA 17046-4656
Phone
(717) 272-2700
NPI assigned
Nov 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN283738L PA
Family Nurse Practitioner 363LF0000X SP019656 PA Primary

Addresses

Primary practice location

920 Church St
Lebanon, PA 17046-4656

Mailing address

304 N Water St
Lancaster, PA 17603-3374
Phone (717) 299-6371

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
I20190131000703 PA Practitioner - Nurse Practitioner 0547507444 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN283738LPAMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care CurrentSince Nov 9, 2020 Accepting new patients
Union Community Care Current Accepting new patients
Union Community Care Past Accepting new patients

Locations

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

515 Hershey Ave
Lancaster, PA 17603
Phone (305) 317-0291

802 New Holland Ave
Ste 200
Lancaster, PA 17602
Phone (717) 291-0700

625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

920 Church St
Lebanon, PA 17046
Phone (717) 272-2700

584 Springville Rd
New Holland, PA 17557
Phone (717) 354-4711

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

Interoperability endpoints

  • Direct secure messaging: jonathan.sanger.1@14261.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1134699465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N WATER ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033374",
            "telephone_number": "717-299-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170464656",
            "telephone_number": "717-272-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGER",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-29",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "PA",
            "license": "RN283738L",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.