Patricia Ryan Altimore, CRNP
Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Dover, PA
NPI 1316028079 · NPPES record last updated Jan 18, 2018
Key facts
- NPI
- 1316028079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner 363LX0001X
- License
- VP004531G (PA)
- Practice address
- 3992 Carlisle Rd
Dover, PA 17315-3506 - Phone
- (717) 851-7260
- Fax
- (717) 292-2879
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellspan Medical Group
Practice addresses (Care Compare)
3992 Carlisle Rd
Dover, PA 17315-3506
Phone (717) 851-7260
Hospital & facility affiliations
- Wellspan York Hospital
- Gettysburg Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070117000262 | PA | Practitioner - Nurse Practitioner | 1456352533 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current |
Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
3992 Carlisle Rd
York, PA 17315
Phone (717) 292-7494
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
Interoperability endpoints
- paltimore97499@wellspan.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | VP004531G | PA | Yes |
Addresses
Primary practice location
3992 Carlisle Rd
Dover, PA 17315-3506
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-7260
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210096 | Other | PA | JOHNS HOPKINS |
| 1925507 | Other | PA | HIGHMARK BLUE SHIELD |
| 894728 | Other | MD | CAREFIRST MD BCBS |
| 50065459 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 1559928 | Other | PA | GATEWAY-WMG |
Other names
- Patricia A Ryan
Other providers in Dover, PA
- Ashley Abel
- Clarissa Renee Adams
- Martin Jenkins Amodei Jr.
- David App
- Avail Personal in-Home Care Services LLC
- Courtney Barnes
- Lori Kay Barton
All providers in Dover, PA · Obstetrics & Gynecology Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.