Susan E Dock, CRNP
Individual provider Active NPI Family Nurse Practitioner · Middleburg, PA
NPI 1194296129 · NPPES record last updated Mar 27, 2026
Key facts
- NPI
- 1194296129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- SP019668 (PA)
- Practice address
- 412 W Market St
Middleburg, PA 17842-1076 - Phone
- (570) 837-6163
- Fax
- (570) 837-7224
- NPI assigned
- Dec 17, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellspan Medical Group
Evangelical Medical Services Organization
Practice addresses (Care Compare)
25 Monument Rd
York, PA 17403-5073
412 W Market St
Wellspan Family Medicine
Middleburg, PA 17842-1076
Phone (570) 837-6163
7095 Westbranch Hwy 1000
Lewisburg, PA 17837-6864
935 Route 522
Selinsgrove, PA 17870-9714
Phone (570) 372-6102
Hospital & facility affiliations
- Wellspan Evangelical Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190123002699 | PA | Practitioner - Nurse Practitioner | 5698012003 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP019668 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evangelical Medical Services Organization | Current |
Accepting new patients | |
| Wellspan Medical Group | Family Medicine | Current |
Accepting new patients |
| Evangelical Medical Services Organization | Current |
Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Family Medicine | Past | Accepting new patients |
Locations
98 Reitz Blvd
Lewisburg, PA 17837
Phone (570) 524-4443
3 Hospital Dr
Ste 214
Lewisburg, PA 17837
Phone (570) 524-4242
3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007
7095 Westbranch Hwy
Ste 1100
Lewisburg, PA 17837
Phone (570) 524-5050
1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110
3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771
7055 Westbranch Hwy
Lewisburg, PA 17837
Phone (570) 524-4141
25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290
7095 Westbranch Hwy
Ste 1000
Lewisburg, PA 17837
Phone (570) 523-3006
412 W Market St
Middleburg, PA 17842
Phone (570) 837-6163
101 Meadow Green Dr
Mifflinburg, PA 17844
Phone (570) 966-1122
964 Carpenter Rd
Milton, PA 17847
Phone (570) 742-2300
112 Ironstone Dr
Northumberland, PA 17857
Phone (570) 473-0545
935 Route 522
Selinsgrove, PA 17870
Phone (570) 372-6102
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- sdock485962@wellspan.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP019668 | PA | Yes |
| Primary Care Nurse Practitioner | 363LP2300X | SP019668 | PA | |
| Family Medicine Physician | 207Q00000X | SP019668 | PA | |
| Nurse Practitioner | 363L00000X | SP019668 | PA |
Addresses
Primary practice location
412 W Market St
Middleburg, PA 17842-1076
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
112 Ironstone Dr
Northumberland, PA 17857-8543
Phone (570) 473-0545
Other practice location 2
935 Route 522
Selinsgrove, PA 17870-9714
Phone (570) 372-6102
Other practice location 3
3 Hospital Dr Ste 214
Lewisburg, PA 17837-9394
Phone (570) 542-4242
Other practice location 4
964 Carpenter Rd
Milton, PA 17847-7527
Phone (570) 742-2300
Other practice location 5
7095 Westbranch Hwy Ste 1000
Lewisburg, PA 17837-6864
Phone (570) 523-3006
Other practice location 6
7095 Westbranch Hwy Ste 1100
Lewisburg, PA 17837-6864
Phone (570) 524-5050
Other practice location 7
101 Meadow Green Dr
Mifflinburg, PA 17844-9300
Phone (570) 966-1122
Other practice location 8
7055 Westbranch Hwy
Lewisburg, PA 17837-6808
Phone (570) 524-4141
Other practice location 9
98 Reitz Blvd
Lewisburg, PA 17837-9270
Phone (570) 524-4443
Other providers in Middleburg, PA
- Brandon Bowers
- Brooke Frances Catherman
- Stacy L Chubb
- Cmsu Behavioral Health and Developmental Services
- Chris James Darrup
- Dr. Daniel K . Gift O.D.
- Tami L. Eiswerth
- Evangelical Medical Services Organization
- Family Practice Center, PC
- Gaudenzia Inc
All providers in Middleburg, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2026. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.