Individual provider Active NPI

Lyndsay E Gardner, CRNP

  • Pediatric Nurse Practitioner
  • York, PA
National Provider Identifier
1164864799
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP012977 Issued in PA
Practice address
1001 S George St
York, PA 17403-3676
Phone
(717) 851-3884
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP012977 PA Primary

Addresses

Primary practice location

1001 S George St
York, PA 17403-3676

Mailing address

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

Other practice location 1

15 Constitution Ave
Shrewsbury, PA 17361-1709
Phone (717) 235-6848

Other practice location 2

3065 Windsor Rd
Red Lion, PA 17356-8533
Phone (717) 812-3040

Other practice location 3

2050 S Queen St
York, PA 17403-4829
Phone (717) 812-4240

Other practice location 4

2675 Joppa Rd
York, PA 17403-5160
Phone (717) 741-9063

Other practice location 5

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

Other practice location 6

4020 Carlisle Rd
Dover, PA 17315-3508
Phone (717) 812-4240

Other practice location 7

2003 E Market St
York, PA 17402-2841
Phone (717) 812-4242

Other practice location 8

2339 S George St
York, PA 17403-5009
Phone (717) 812-3040

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
I20140115000501 PA Practitioner - Nurse Practitioner 9133357304 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP012977PAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Mar 9, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Mar 9, 2020 Accepting new patients
York Hospital Past Accepting new patients

Locations

3065 Windsor Rd
Red Lion, PA 17356
Phone (717) 812-3040

15 Constitution Ave
Shrewsbury, PA 17361
Phone (717) 227-0222

2050 S Queen St
York, PA 17403
Phone (717) 812-2316

2339 S George St
York, PA 17403
Phone (717) 812-3040

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

2675 Joppa Rd
York, PA 17403
Phone (717) 741-9063

4020 Carlisle Rd
York, PA 17315
Phone (717) 812-4240

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

2003 E Market St
York, PA 17402
Phone (717) 812-4242

1001 S George St
York, PA 17403
Phone (717) 812-7687

Interoperability endpoints

  • Direct secure messaging: lgardner222796@wellspan.direct-ci.com

Organizations & group practices 4

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": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1164864799",
    "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",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676",
            "telephone_number": "717-851-3884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Constitution Ave",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "PA",
            "postal_code": "173611709",
            "country_code": "US",
            "telephone_number": "717-235-6848",
            "fax_number": "717-759-6770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3065 Windsor Rd",
            "address_purpose": "LOCATION",
            "city": "Red Lion",
            "state": "PA",
            "postal_code": "173568533",
            "country_code": "US",
            "telephone_number": "717-812-3040",
            "fax_number": "717-741-3028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034829",
            "country_code": "US",
            "telephone_number": "717-812-4240",
            "fax_number": "717-848-5520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2675 Joppa Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035160",
            "country_code": "US",
            "telephone_number": "717-741-9063",
            "fax_number": "717-718-9779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4020 Carlisle Rd",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "PA",
            "postal_code": "173153508",
            "country_code": "US",
            "telephone_number": "717-812-4240",
            "fax_number": "717-851-6460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 E Market St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174022841",
            "country_code": "US",
            "telephone_number": "717-812-4242",
            "fax_number": "717-755-7569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2339 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035009",
            "country_code": "US",
            "telephone_number": "717-812-3040",
            "fax_number": "717-741-3028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "LYNDSAY",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP012977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.