Wellspan Medical Group

Organization Active NPI Family Medicine Physician · Chambersburg, PA

NPI 1144035601 · NPPES record last updated Feb 11, 2025

Key facts

NPI
1144035601
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
WELLSPAN MEDICAL GROUP
Practice address
22 St Paul Dr
Chambersburg, PA 17201-1036
Phone
(717) 264-6511
NPI assigned
Feb 11, 2025
Organization subpart
No

Authorized official

Name
Jennifer Sweitzer
Title
Director
Phone
(717) 851-6838

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040220000815 PA Part B Supplier - Clinic/Group Practice 1951213115 Receives reassigned benefits from 3,390 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Linda M Miller (177 organizations share this tax ID)

Locations

450 S Washington St
Ste E
Gettysburg, PA 17325
Phone (717) 338-3285

25 Monument Rd
Ste 220B
York, PA 17403
Phone (717) 812-2390

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X

Addresses

Primary practice location

22 St Paul Dr
Chambersburg, PA 17201-1036

Mailing address

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

Other names

  • WellSpan Family Medicine Doing business as

Other providers in Chambersburg, PA

All providers in Chambersburg, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.