Individual provider Active NPI

Kevin C Wolverton, MD

  • Obstetrics & Gynecology Physician
  • York, PA
National Provider Identifier
1205814290
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD424365 Issued in PA
Practice address
1001 S George St
York, PA 17403-3676
Phone
(717) 851-2348
Fax
(717) 851-2426
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD424365 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

845 Helen Dr
Lebanon, PA 17042-7493
Phone (717) 273-8835

Other practice location 2

175 Martin Ave
Ephrata, PA 17522-1761
Phone (717) 738-6695

Other practice location 3

1101 Edgar St
York, PA 17403-2862
Phone (717) 812-4602

Other identifiers 1

IdentifierTypeStateIssuer
1010432660001MedicaidPA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040917000259 PA Practitioner - Obstetrics/Gynecology 6901874056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York HospitalGroup PAC ID 2961307467, 94 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1101 Edgar St
Suite E
York, PA 17403-2862
Phone (717) 812-4602

450 S Washington St
Suite B
Gettysburg, PA 17325-2500
Phone (717) 337-4487

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Feb 25, 2019 Accepting new patients
Wellspan Medical Group CurrentSince Feb 25, 2019 Accepting new patients
York Hospital CurrentSince Feb 25, 2019 Accepting new patients
Wellspan Medical Group Current Accepting new patients
York Hospital Current Accepting new patients
York Hospital Obstetrics & Gynecology CurrentSince Feb 25, 2019 Accepting new patients

Locations

450 S Washington St
Ste B
Gettysburg, PA 17325
Phone (717) 337-4487

694 Good Dr
#112
Lancaster, PA 17601
Phone 71739781771890

845 Helen Dr
Lebanon, PA 17042
Phone (717) 273-8835

3 Hospital Dr
Ste 312
Lewisburg, PA 17837
Phone (570) 523-8700

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

1693 S Queen St
York, PA 17403
Phone (717) 356-5330

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

1101 Edgar St
#E
York, PA 17403
Phone (717) 812-4602

1101 Edgar St
York, PA 17403
Phone (717) 812-4602

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

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

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

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

Interoperability endpoints

  • Direct secure messaging: kwolverton103894@wellspan.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1205814290",
    "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"
        },
        {
            "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": "717-851-2348",
            "fax_number": "717-851-2426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 Helen Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427493",
            "country_code": "US",
            "telephone_number": "717-273-8835",
            "fax_number": "717-202-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221761",
            "country_code": "US",
            "telephone_number": "717-738-6695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Edgar St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174032862",
            "country_code": "US",
            "telephone_number": "717-812-4602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLVERTON",
        "first_name": "KEVIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD424365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010432660001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.