Individual provider Active NPI

Jay Paul McCardell IV, D.O.

  • Anesthesiology Physician
  • Ephrata, PA
National Provider Identifier
1235339771
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS014136 Issued in PA
Practice address
169 Martin Ave
Ephrata, PA 17522
Phone
(717) 733-0311
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS014136 PA Primary

Addresses

Primary practice location

169 Martin Ave
Ephrata, PA 17522

Mailing address

601 Memory Lane
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

1500 Highlands Dr
Lititz, PA 17543-7694
Phone (717) 782-3282

Other practice location 2

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

Other practice location 3

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

Other practice location 4

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

Other practice location 5

35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 690-0811

Other identifiers 1

IdentifierTypeStateIssuer
102377720MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmccardell62241@phsdirect.pinnaclehealth.org

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
I20120220000089 PA Practitioner - Anesthesiology 5496913667 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 733-0311

25 Monument Rd
York, PA 17403-5073

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

4 TH and Walnut STS
2ND Floor
Lebanon, PA 17042-6123
Phone (717) 270-3751

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

Hospital & facility affiliations

  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225
  • Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2017 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Anesthesiology CurrentSince Apr 14, 2018 Accepting new patients
Wellspan Medical Group CurrentSince Jun 24, 2024 Accepting new patients
Prime Anesthesia Associates PC Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Apr 14, 2018 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2017 Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785

250 College Ave
Lancaster, PA 17603
Phone (717) 291-8211

810 Plaza Blvd
Ste 101
Lancaster, PA 17601
Phone (717) 431-2368

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000

1575 Highlands Dr
Ste 204
Lititz, PA 17543
Phone (717) 627-2804

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

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

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

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

Interoperability endpoints

  • Direct secure messaging: jmccardell434676@wellspan.direct-ci.com
  • Direct secure messaging: jmccardell295910@upmc.direct-ci.com

Organizations & group practices 15

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.

View all 15

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1235339771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LANE",
            "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": "169 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "17522",
            "telephone_number": "717-733-0311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Highlands Dr",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175437694",
            "country_code": "US",
            "telephone_number": "717-782-3282",
            "fax_number": "717-231-8964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "17403",
            "country_code": "US",
            "telephone_number": "717-741-8250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "17403",
            "country_code": "US",
            "telephone_number": "717-812-7687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "17042",
            "country_code": "US",
            "telephone_number": "717-270-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Erick Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013111",
            "country_code": "US",
            "telephone_number": "717-690-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARDELL",
        "first_name": "JAY",
        "middle_name": "PAUL",
        "name_suffix": "IV",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS014136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102377720",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmccardell62241@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1500 Highlands Dr",
            "city": "Lititz",
            "state": "PA",
            "country_code": "US",
            "postal_code": "175437694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.