Individual provider Active NPI

Charlene Dreher Wiser, CRNP

  • Adult Health Nurse Practitioner
  • Chambersburg, PA
National Provider Identifier
1215966585
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP025707 Issued in PA
Practice address
3106 Philadelphia Ave
Chambersburg, PA 17201-8938
Phone
(717) 264-3644
Fax
(717) 264-9077
NPI assigned
Jun 30, 2006
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 303743 NY
Adult Health Nurse Practitioner 363LA2200X SP025707 PA Primary

Addresses

Primary practice location

3106 Philadelphia Ave
Chambersburg, PA 17201-8938

Mailing address

785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other practice location 1

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 597-5553

Other practice location 2

1345 Motor Parkway
Stony Brook World Trade Center Medical Monitoring Progr
Isalndia, NY 11749
Phone (631) 855-1200

Other identifiers 1

IdentifierTypeStateIssuer
15538472OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200125000071 NY Practitioner - Nurse Practitioner 1759716558 Reassigns benefits to 1 organization
I20220524000858 PA Practitioner - Nurse Practitioner 1759716558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

3106 Philadelphia Ave
Chambersburg, PA 17201-8938
Phone (717) 267-4839

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 1, 2024 Accepting new patients
East Coast Gastroenterology and Endoscopy PC CurrentSince Dec 1, 2019 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Long Island Minimally Invasive Surgery, P.C. PastSince Oct 5, 2019 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

153 N Ocean Ave
Patchogue, NY 11772
Phone (631) 714-4444

3106 Philadelphia Ave
Chambersburg, PA 17201
Phone (717) 264-3644

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

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

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

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

Interoperability endpoints

  • Direct secure messaging: charlene.dreher@direct.stonybrookmedicine.edu
  • Direct secure messaging: cwiser302820@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1215966585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE STE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-709-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 PHILADELPHIA AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172018938",
            "telephone_number": "717-264-3644",
            "fax_number": "717-264-9077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-597-5553",
            "fax_number": "717-597-5522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1345 Motor Parkway",
            "address_2": "Stony Brook World Trade Center Medical Monitoring Progr",
            "address_purpose": "LOCATION",
            "city": "Isalndia",
            "state": "NY",
            "postal_code": "11749",
            "country_code": "US",
            "telephone_number": "631-855-1200",
            "fax_number": "631-630-6297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISER",
        "first_name": "CHARLENE",
        "middle_name": "DREHER",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "303743",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP025707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15538472",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.