NPIMap

Individual provider Active NPI

Jaenell Lynn Ditsious, FNP-BC

  • Hematology & Oncology Physician
  • Ephrata, PA
National Provider Identifier
1235417262
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
SP011497 Issued in PA
Practice address
460 N Reading Rd
Ephrata, PA 17522-9606
Phone
(717) 721-4840
Fax
(717) 738-3558
NPI assigned
Jul 25, 2011
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X SP011497 PA Primary

Addresses

Primary practice location

460 N Reading Rd
Ephrata, PA 17522-9606

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 721-4840

Other names 1

  • Jaenell Lynn Eshleman Former name

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
I20110921000044 PA Practitioner - Nurse Practitioner 7012188154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan Physician ServicesGroup PAC ID 5496728172, 102 clinicians

Practice addresses (Care Compare)

460 N Reading Rd
Wellspan Medical Oncology and Hematology
Ephrata, PA 17522-9606
Phone (717) 721-4840

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Physician Services CurrentSince Mar 1, 2024 Accepting new patients
Good Samaritan Physician Services CurrentSince Mar 1, 2024 Accepting new patients
Good Samaritan Physician Services Current Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients

Locations

460 N Reading Rd
Ephrata, PA 17522
Phone (717) 721-4840

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

844 Tuck St
Lebanon, PA 17042
Phone (717) 274-8875

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: jditsious406458@wellspan.direct-ci.com

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 8

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": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1235417262",
    "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": "717-721-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N READING RD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229606",
            "telephone_number": "717-721-4840",
            "fax_number": "717-738-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITSIOUS",
        "first_name": "JAENELL",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "SP011497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAENELL",
            "last_name": "ESHLEMAN",
            "middle_name": "LYNN",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.