Active NPI
Todd Staub, NP-C
- Nurse Practitioner
- Gettysburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP011654
- Practice address
- 40 V Twin Dr
Gettysburg, PA 17325-7875 - Phone
- (717) 339-2560
- NPI assigned
- Oct 12, 2011
- Last updated
- Feb 5, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP011654 | PA | Primary |
Addresses
Primary practice location
40 V Twin Dr
Gettysburg, PA 17325-7875
Mailing address
601 Memory LN
York, PA 17402-2231
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 V Twin Dr
Gettysburg, PA 17325-7875
Phone (717) 339-2560
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.97 of 100
- Quality
- 94.86
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 79.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP011654 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Physician Services | Current | Accepting new patients | |
| Good Samaritan Physician Services | Current | Accepting new patients | |
| Good Samaritan Physician Services | Current | Accepting new patients | |
| Respiratory Specialists LTD | Past | Accepting new patients |
Locations
40 V Twin Dr
Gettysburg, PA 17325
Phone (717) 339-2424
844 Tuck St
Lebanon, PA 17042
Phone (717) 274-8875
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Interoperability endpoints
- tstaub466264@wellspan.direct-ci.com
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.
-
dba WellSpan Urology - Lebanon
- Urology Physician
- Lebanon, PA
- NPI 1558749846
-
dba WellSpan Palliative and Supportive Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- York, PA
- NPI 1184490401
-
dba WellSpan Heart Failure Program
- Cardiovascular Disease Physician
- York, PA
- NPI 1497521702
-
dba Respiratory Specialists
- Pulmonary Disease Physician
- Wyomissing, PA
- NPI 1801816152
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Gettysburg Hospital SPU
- Ambulatory Surgical Clinic/Center
- Gettysburg, PA
- NPI 1184882011
Hospital
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
dba York Hospital Community Health Center
- Clinic/Center
- York, PA
- NPI 1497814040
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1144505975",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 V TWIN DR",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173257875",
"telephone_number": "717-339-2560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUB",
"first_name": "TODD",
"name_prefix": "Mr.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-12",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP011654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.