Individual provider Active NPI

Justin Baker Rife, CRNP

  • Family Nurse Practitioner
  • Shippensburg, PA
National Provider Identifier
1235730326
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022528 Issued in PA
Practice address
46 Walnut Bottom Rd Ste 100
Shippensburg, PA 17257-8219
Phone
(717) 477-2764
Fax
(717) 217-4207
NPI assigned
Nov 4, 2020
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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 SP022528 PA Primary

Addresses

Primary practice location

46 Walnut Bottom Rd Ste 100
Shippensburg, PA 17257-8219

Mailing address

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

Other practice location 1

1000 Norland Ave
Chambersburg, PA 17201-4229
Phone (717) 267-6363

Other practice location 2

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 593-0512

Other practice location 3

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5088

Other practice location 4

111 Chambers Hill Dr Ste 100
Chambersburg, PA 17201-7304
Phone (717) 709-7979

Other identifiers 1

IdentifierTypeStateIssuer
1235730326OtherPANPI

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210125002682 PA Practitioner - Nurse Practitioner 8729492269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rural Health CenterGroup PAC ID 5496663312, 44 clinicians

Practice addresses (Care Compare)

111 Chambers Hill Dr
Suite 100
Chambersburg, PA 17201-7304
Phone (717) 709-7979

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rural Health Center CurrentSince Apr 14, 2023 Accepting new patients
Keystone Rural Health Center Current Accepting new patients
Keystone Rural Health Center CurrentSince Apr 14, 2023 Accepting new patients

Locations

111 Chambers Hill Dr
Ste 100
Chambersburg, PA 17201
Phone (717) 709-7979

111 Chambers Hill Dr
Ste 200
Chambersburg, PA 17201
Phone (717) 709-7900

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

133 W Catherine St
Ste 100
Chambersburg, PA 17201
Phone (717) 261-4933

820 5th Ave
Chambersburg, PA 17201
Phone (717) 263-4313

Interoperability endpoints

  • Direct secure messaging: jrife224890@wellspan.direct-ci.com

Organizations & group practices 3

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 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": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1235730326",
    "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": "46 WALNUT BOTTOM RD STE 100",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172578219",
            "telephone_number": "717-477-2764",
            "fax_number": "717-217-4207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Norland Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014229",
            "country_code": "US",
            "telephone_number": "717-267-6363",
            "fax_number": "717-217-6937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-593-0512",
            "fax_number": "717-267-6135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5088",
            "fax_number": "717-765-5066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Chambers Hill Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172017304",
            "country_code": "US",
            "telephone_number": "717-709-7979",
            "fax_number": "717-709-7980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIFE",
        "first_name": "JUSTIN",
        "middle_name": "BAKER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235730326",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shippensburg, PA

Sources for this page

Verify at the official NPI Registry.