NPIMap

Individual provider Active NPI

Jonathan D Hostetter, CRNP

  • Nurse Practitioner
  • Lititz, PA
National Provider Identifier
1255374658
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
VP003401B Issued in PA
Practice address
6 W Newport Rd
Lititz, PA 17543-7774
Phone
(717) 627-2108
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X VP003401B PA Primary

Addresses

Primary practice location

6 W Newport Rd
Lititz, PA 17543-7774

Mailing address

6 W Newport Rd
Lititz, PA 17543-7774
Phone (717) 627-2108

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
I20031218000343 PA Practitioner - Nurse Practitioner 9739086554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians

Practice addresses (Care Compare)

6 W Newport Rd
Penn State Med GRP Cornerstone
Lititz, PA 17543-7774
Phone (717) 627-2108

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Lancaster, PA, CCN 397401
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Penn State Health Lancaster Medical Center Hospital, Lancaster, PA, CCN 390339
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256
  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC Nurse Practitioner CurrentSince Oct 1, 2017 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2017 Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients
Penn State Health Medical Group, LLC PastSince Dec 9, 2019 Accepting new patients

Locations

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

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

6 W Newport Rd
Ste 2
Lititz, PA 17543
Phone (717) 627-2108

6 W Newport Rd
Lititz, PA 17543
Phone (717) 581-5255

29 Eastbrook Rd
Ronks, PA 17572
Phone (717) 299-5711

Organizations & group practices 5

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.

Hospital & facility affiliations 11

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1255374658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 W NEWPORT RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437774",
            "telephone_number": "717-627-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 W NEWPORT RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437774",
            "telephone_number": "717-627-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTETTER",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "VP003401B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

Verify at the official NPI Registry.