NPIMap

Individual provider Active NPI

Rienna P Fulmer, PA-C

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1245428879
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053169 Issued in PA
Practice address
2106 Harrisburg Pike
Suite 116
Lancaster, PA 17601-2644
Phone
(717) 393-1900
Fax
(888) 972-8301
NPI assigned
Oct 9, 2007
Last updated
Feb 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA053169 PA Primary

Addresses

Primary practice location

2106 Harrisburg Pike
Suite 116
Lancaster, PA 17601-2644

Mailing address

2106 Harrisburg Pike
Suite 116
Lancaster, PA 17601-2644
Phone (717) 393-1900

Other names 1

  • Rienna P Demeo 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
I20071228000070 PA Practitioner - Physician Assistant 2163502402 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Lancaster Orthopedic Group, Inc.Group PAC ID 1557264678, 76 clinicians

Practice addresses (Care Compare)

160 N Pointe Blvd
Lancaster, PA 17601-4134

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

231 Granite Run Dr
Lancaster, PA 17601-6823
Phone (717) 560-4200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Jan 25, 2022 Accepting new patients
Lancaster General Medical Group CurrentSince Jan 25, 2022 Accepting new patients
Argires Marotti Neurosurgical Associates of Lancaster, PC CurrentSince Oct 16, 2023 Accepting new patients
Southern Chester County Emergency Room Associates PC Past Accepting new patients
Lancaster Orthopedic Group, Inc. Past Accepting new patients
Westphal Associates, LTD PastSince Mar 1, 2017 Accepting new patients
Argires Marotti Neurosurgical Associates of Lancaster, PC Past Accepting new patients

Locations

160 N Pointe Blvd
Ste 200
Lancaster, PA 17601
Phone (717) 358-0800

2106 Harrisburg Pike
Ste 116
Lancaster, PA 17601
Phone (717) 393-1900

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

26 N Cedar St
Lititz, PA 17543
Phone (717) 588-1190

1159 River Rd
#F
Marietta, PA 17547
Phone (717) 426-1131

950 S Octorara Trl
Parkesburg, PA 19365
Phone (610) 857-6616

Organizations & group practices 9

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 3

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1245428879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 HARRISBURG PIKE",
            "address_2": "SUITE 116",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-393-1900",
            "fax_number": "888-972-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 HARRISBURG PIKE",
            "address_2": "SUITE 116",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-393-1900",
            "fax_number": "888-972-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMER",
        "first_name": "RIENNA",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIENNA",
            "last_name": "DEMEO",
            "middle_name": "P",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.