Elaine Y Greene, CNM
Individual provider Active NPI Midwife · Harrisburg, PA
NPI 1174612352 · NPPES record last updated Jun 17, 2011
Key facts
- NPI
- 1174612352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- MW010138 (PA)
- Practice address
- 4700 Union Deposit Road
Suite 140
Harrisburg, PA 17111 - Phone
- (717) 652-6605
- Fax
- (717) 920-1265
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061031000473 | PA | Practitioner - Certified Nurse Midwife (CNM) | 7810994084 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW010138 | PA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current |
Accepting new patients | |
| The Milton S Hershey Medical Center Physician Group | Current |
Accepting new patients | |
| Partners in Women'S Healthcare, PC | Current |
Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current |
Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current |
Accepting new patients |
Locations
2200 Good Hope Rd
Enola, PA 17025
Phone (717) 981-8230
810 Sir Thomas Ct
#201
Harrisburg, PA 17109
Phone (717) 236-5023
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
1 Lemoyne Sq
Ste 201
Lemoyne, PA 17043
Phone (717) 737-4511
Interoperability endpoints
- egreene@piwh.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MW010138 | PA | Yes |
Addresses
Primary practice location
4700 Union Deposit Road
Suite 140
Harrisburg, PA 17111
Mailing address
4700 Union Deposit Road
Suite 140
Harrisburg, PA 17111
Phone (717) 652-6605
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.