Individual provider Active NPI

Brittany Nicole Wagner, CRNP

  • Gerontology Nurse Practitioner
  • Chambersburg, PA
National Provider Identifier
1285082693
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP016389 Issued in PA
Practice address
252 Sandoeshire LN
Chambersburg, PA 17201-8797
Phone
(717) 658-3916
NPI assigned
May 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN586378 PA
Gerontology Nurse Practitioner 363LG0600X SP016389 PA Primary

Addresses

Primary practice location

252 Sandoeshire LN
Chambersburg, PA 17201-8797

Mailing address

252 Sandoeshire LN
Chambersburg, PA 17201-8797
Phone (717) 658-3916

Other practice location 1

2200 NE Neff Rd Ste 302
Bend, OR 97701-4279
Phone (541) 706-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161007000168 PA Practitioner - Nurse Practitioner 4587952528 Reassigns benefits to 2 organizations
I20260107004423 OR Practitioner - Nurse Practitioner 4587952528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians

Practice addresses (Care Compare)

2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN586378PAMDRegistered Nurse
SP016389PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Nov 21, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Nov 21, 2021 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Apr 28, 2024 Accepting new patients
St. Charles Health System, Inc. CurrentSince Oct 4, 2025 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Apr 28, 2024 Accepting new patients
St. Charles Health System, Inc. CurrentSince Oct 4, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Midatlantic Endoscopy LLC Current Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
Main Line Gastroenterology Associates, PC Past Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

2200 NE Neff Rd
Bend, OR 97701
Phone (541) 322-2323

2200 NE Neff Rd
Ste 302
Bend, OR 97701
Phone (541) 706-4220

1245 NW 4th St
Redmond, OR 97756
Phone (541) 526-1771

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

1315 NW 4th St
Redmond, OR 97756
Phone (541) 388-2333

835 5th Ave
Chambersburg, PA 17201
Phone (717) 217-4312

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

325 Central Ave
Fl 2
Malvern, PA 19355

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Organizations & group practices 10

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 2

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1285082693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 SANDOESHIRE LN",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172018797",
            "telephone_number": "717-658-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 SANDOESHIRE LN",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172018797",
            "telephone_number": "717-658-3916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 NE Neff Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977014279",
            "country_code": "US",
            "telephone_number": "541-706-4220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN586378",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP016389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.