Susan E Dock, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP019668 Issued in PA

Practice address

412 W Market St
Middleburg, PA 17842-1076

Phone

(570) 837-6163

Fax

(570) 837-7224

NPI assigned

Dec 17, 2018

Last updated

Mar 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Evangelical Medical Services OrganizationGroup PAC ID 9133033087, 255 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan Evangelical Community Hospital Hospital, Lewisburg, PA, CCN 390013

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sdock485962@wellspan.direct-ci.com

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.

• Evangelical Medical Services Organization

  dba WellSpan Behavioral Health

  • Surgery Physician
  • Lewisburg, PA
  • NPI 1205928967
  Medicare reassignment Care Compare group NPD
• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment Care Compare group NPD
• Evangelical Medical Services Organization

  dba WellSpan Urology

  • Urology Physician
  • Lewisburg, PA
  • NPI 1083412084
  NPD
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  dba WellSpan Urgent Care

  • Urgent Care Clinic/Center
  • York, PA
  • NPI 1679667679

  Family Medicine

  NPD
• Wellspan Medical Group

  dba Wellspan Nephrology

  • Nephrology Physician
  • York, PA
  • NPI 1821159021
  NPD (past)

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

• Evangelical Community Hospital

  dba WellSpan Evangelical Community Hospital

  • General Acute Care Hospital
  • Lewisburg, PA
  • NPI 1124076039
  Care Compare affiliation

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1194296129",
    "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": "412 W MARKET ST",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178421076",
            "telephone_number": "570-837-6163",
            "fax_number": "570-837-7224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Meadow Green Dr",
            "address_purpose": "LOCATION",
            "city": "Mifflinburg",
            "state": "PA",
            "postal_code": "178449300",
            "country_code": "US",
            "telephone_number": "570-966-1122",
            "fax_number": "570-966-1182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7095 Westbranch Hwy Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376864",
            "country_code": "US",
            "telephone_number": "570-524-5050",
            "fax_number": "570-524-5250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Ironstone Dr",
            "address_purpose": "LOCATION",
            "city": "Northumberland",
            "state": "PA",
            "postal_code": "178578543",
            "country_code": "US",
            "telephone_number": "570-473-0545",
            "fax_number": "570-473-7410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Route 522",
            "address_purpose": "LOCATION",
            "city": "Selinsgrove",
            "state": "PA",
            "postal_code": "178709714",
            "country_code": "US",
            "telephone_number": "570-372-6102",
            "fax_number": "570-372-6110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "964 Carpenter Rd",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "PA",
            "postal_code": "178477527",
            "country_code": "US",
            "telephone_number": "570-742-2300",
            "fax_number": "570-742-6276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Hospital Dr Ste 214",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379394",
            "country_code": "US",
            "telephone_number": "570-542-4242",
            "fax_number": "570-542-4201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 Reitz Blvd",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379270",
            "country_code": "US",
            "telephone_number": "570-524-4443",
            "fax_number": "570-523-1855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7055 Westbranch Hwy",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376808",
            "country_code": "US",
            "telephone_number": "570-524-4141",
            "fax_number": "570-524-5218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7095 Westbranch Hwy Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376864",
            "country_code": "US",
            "telephone_number": "570-523-3006",
            "fax_number": "570-523-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCK",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019668",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP019668",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP019668",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Bowers, DMD
• Brooke Frances Catherman, PA-C
• Stacy L Chubb, CRNP
• Cmsu Behavioral Health and Developmental Services
• Chris James Darrup, DO
• Dr. Daniel K . Gift O.D.
• Tami L. Eiswerth, M.S., A.T.,C.
• Evangelical Medical Services Organization (EMSO Middleburg Lab)
• Family Practice Center, PC
• Gaudenzia Inc

• Family Nurse Practitioner in Middleburg, PA
• Providers in Middleburg, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.

Verify at the official NPI Registry.