Individual provider Active NPI

Angela F Brubaker, NP-C

  • Family Nurse Practitioner
  • Mechanicsburg, PA
National Provider Identifier
1295062933
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020316 Issued in PA
Practice address
310 Lambs Gap Rd
Mechanicsburg, PA 17050-2522
Phone
(717) 795-9566
NPI assigned
Nov 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 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 SP020316 PA Primary

Addresses

Primary practice location

310 Lambs Gap Rd
Mechanicsburg, PA 17050-2522

Mailing address

310 Lambs Gap Rd
Mechanicsburg, PA 17050-2522
Phone (717) 795-9566

Other practice location 1

14244 Route 35
Richfield, PA 17086-8711
Phone (717) 795-3180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151109001684 TX Order and Referring Only - Nurse Practitioner 4486784816

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020316PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Turnpaugh Health and Wellness Center Current Accepting new patients

Locations

310 N Salem Church Rd
Mechanicsburg, PA 17050
Phone (717) 591-1425

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1295062933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 LAMBS GAP RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502522",
            "telephone_number": "717-795-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LAMBS GAP RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502522",
            "telephone_number": "717-795-9566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14244 Route 35",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "PA",
            "postal_code": "170868711",
            "country_code": "US",
            "telephone_number": "717-795-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "ANGELA",
        "middle_name": "F",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.