NPIMap

Individual provider Active NPI

Brad A Hertzler, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Ephrata, PA
National Provider Identifier
1205544236
Registry record updated Dec 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP026451 Issued in PA
Practice address
101 Larkspur LN
Ephrata, PA 17522-8402
Phone
(717) 738-0660
NPI assigned
Nov 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP026451 PA Primary

Addresses

Primary practice location

101 Larkspur LN
Ephrata, PA 17522-8402

Mailing address

443 Nevin St
Lancaster, PA 17603-3360
Phone (520) 314-6292

Other practice location 1

1261 Division Hwy Ste 1
Ephrata, PA 17522-8822
Phone (717) 738-5320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230211000037 PA Practitioner - Nurse Practitioner 5395117741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

1261 Division Hwy
Suite 1
Ephrata, PA 17522-8822
Phone (717) 738-0660

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Mar 6, 2023 Accepting new patients
Lancaster General Medical Group CurrentSince Mar 6, 2023 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

1097 Commercial Ave
East Petersburg, PA 17520
Phone (717) 544-1952

101 Larkspur Ln
Ephrata, PA 17522
Phone (717) 569-5331

1261 Division Hwy
#1
Ephrata, PA 17522
Phone (717) 738-0660

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1701 Cornwall Rd
Ste 201
Lebanon, PA 17042
Phone (717) 675-1750

146 E Main St
Leola, PA 17540
Phone (717) 646-2141

562 W 2nd Ave
Lititz, PA 17543
Phone (717) 626-2167

51 Peters Rd
Ste 201
Lititz, PA 17543
Phone (717) 544-6260

700 Lancaster Rd
Manheim, PA 17545
Phone (717) 314-0924

546 N Penryn Rd
Manheim, PA 17545
Phone (717) 544-8075

676 E Main St
New Holland, PA 17557
Phone (717) 354-4671

505 Historic Dr
Strasburg, PA 17579
Phone (717) 588-1576

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670716800000",
    "number": "1205544236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 NEVIN ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033360",
            "telephone_number": "520-314-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LARKSPUR LN",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175228402",
            "telephone_number": "717-738-0660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1261 Division Hwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175228822",
            "country_code": "US",
            "telephone_number": "717-738-5320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERTZLER",
        "first_name": "BRAD",
        "middle_name": "A",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-12-11",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.