NPIMap

Organization Active NPI

Evangelical Medical Services Organization

Doing business as WellSpan Family Medicine

  • Family Medicine Physician
  • Lewisburg, PA
National Provider Identifier
1295834984
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Doing business as
WellSpan Family Medicine
Practice address
1 Hospital Dr
Lewisburg, PA 17837-9350
Phone
(570) 522-4110
Fax
(570) 768-3911
NPI assigned
Sep 21, 2006
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Kendra A Aucker
Title
Senior Vice President/President
Phone
(570) 522-2807

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

1 Hospital Dr
Lewisburg, PA 17837-9350

Mailing address

1 Hospital Dr Ste 306
Lewisburg, PA 17837-9350
Phone (570) 522-4110

Other practice location 1

101 Meadow Green Dr
Mifflinburg, PA 17844-9300
Phone (570) 966-1122

Other practice location 2

3 Hospital Dr Ste 214
Lewisburg, PA 17837-9394
Phone (570) 524-4242

Other identifiers 5

IdentifierTypeStateIssuer
118438703OtherPADEPARTMENT OF LABOR
1007498260092MedicaidPA
001881626OtherPAHIGHMARK BLUE SHIELD
50062067OtherPACAPITAL BLUE CROSS
CA5965OtherPARAILROAD MEDICARE

Other names 1

  • WellSpan Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000212 PA Part B Supplier - Clinic/Group Practice 9133033087 Receives reassigned benefits from 372 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lewisburg, PA; Middleburg, PA; Mifflinburg, PA; Milton, PA; New Columbia, PA; Northumberland, PA; Selinsgrove, PA; Shamokin Dam, PA…

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

3 Hospital Dr
Ste 212
Lewisburg, PA 17837
Phone (570) 522-9771

3 Hospital Dr
Ste 214
Lewisburg, PA 17837
Phone (570) 524-4242

7095 Westbranch Hwy
Ste 1100
Lewisburg, PA 17837
Phone (570) 524-5050

90 Medical Park Dr
Ste 1000
Lewisburg, PA 17837
Phone (570) 524-2722

101 Meadow Green Dr
Mifflinburg, PA 17844
Phone (570) 966-1122

Practitioners & affiliated clinicians

Practitioners 98

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 98

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1295834984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR STE 306",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379350",
            "telephone_number": "570-522-4110",
            "fax_number": "570-768-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379350",
            "telephone_number": "570-522-4110",
            "fax_number": "570-768-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Meadow Green Dr",
            "address_purpose": "LOCATION",
            "city": "Mifflinburg",
            "state": "PA",
            "postal_code": "178449300",
            "country_code": "US",
            "telephone_number": "570-966-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Hospital Dr Ste 214",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379394",
            "country_code": "US",
            "telephone_number": "570-524-4242",
            "fax_number": "570-524-4201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVANGELICAL MEDICAL SERVICES ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "AUCKER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT/PRESIDENT",
        "authorized_official_telephone_number": "570-522-2807"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "118438703",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007498260092",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001881626",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50062067",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA5965",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpan Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.