Active NPI
Justin Baker Rife, CRNP
- Family Nurse Practitioner
- Shippensburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP022528
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235730326 | Other | PA | NPI |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Rural Health Center | Current | Accepting new patients | |
| Keystone Rural Health Center | Current | Accepting new patients | |
| Keystone Rural Health Center | Current | 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
- 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.
-
dba Keystone Family Medicine
- Federally Qualified Health Center (FQHC)
- Chambersburg, PA
- NPI 1538166905
-
dba Keystone Pharmacy Catherine Street
- Community/Retail Pharmacy
- Chambersburg, PA
- NPI 1053105288
-
dba Keystone Urgent Care Chambers Hill Drive
- Federally Qualified Health Center (FQHC)
- Chambersburg, PA
- NPI 1790064772
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1215060157
Hospital
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1669523320
Hospital
-
dba WellSpan Chambersburg Hospital
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1952452617
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.