Individual provider Active NPI

Erica Marie Witkonis, CRNP

  • Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1164076170
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP020558 Issued in PA
Practice address
1650 Crooked Oak Dr Ste 200
Lancaster, PA 17601-4278
Phone
(717) 569-3279
NPI assigned
Jul 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP020558 PA Primary

Addresses

Primary practice location

1650 Crooked Oak Dr Ste 200
Lancaster, PA 17601-4278

Mailing address

1650 Crooked Oak Dr Ste 200
Lancaster, PA 17601-4278
Phone (717) 569-3279

Other names 1

  • Erica Marie Lehman Former name

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
I20190911000485 PA Practitioner - Nurse Practitioner 8628307048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Lancaster, LTDGroup PAC ID 1658272307, 10 clinicians

Practice addresses (Care Compare)

1650 Crooked Oak Dr
Suite 200
Lancaster, PA 17601-4278
Phone (717) 569-3279

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

Merit-based Incentive Payment System (MIPS)

Final score
70.27 of 100Reported as individual
Quality
51.94
Promoting interoperability
89
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Lancaster, LTD CurrentSince Aug 5, 2019 Accepting new patients

Locations

1650 Crooked Oak Dr
Ste 200
Lancaster, PA 17601
Phone (717) 569-3279

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1164076170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 CROOKED OAK DR STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014278",
            "telephone_number": "717-569-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 CROOKED OAK DR STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014278",
            "telephone_number": "717-569-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKONIS",
        "first_name": "ERICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "LEHMAN",
            "middle_name": "MARIE",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.