Individual provider Active NPI

Susan Lynn Moore, NP

  • Women's Health Nurse Practitioner
  • Lebanon, PA
National Provider Identifier
1336458975
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP011177 Issued in PA
Practice address
845 Helen Dr
Lebanon, PA 17042-7493
Phone
(717) 273-8835
NPI assigned
Sep 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP011177 PA Primary
Women's Health Nurse Practitioner 363LW0102X 0024169020 VA

Addresses

Primary practice location

845 Helen Dr
Lebanon, PA 17042-7493

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

35 Monument Rd Ste 204
York, PA 17403-5074
Phone (717) 851-2443

Other practice location 2

30 W Swartzville Rd
Reinholds, PA 17569-9641
Phone (717) 466-5420

Other practice location 3

35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 466-5420

Other practice location 4

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 851-2443

Other practice location 5

701 Leon Ave
Palmyra, PA 17078-3554
Phone (717) 273-8835

Other practice location 6

175 Martin Ave Ste 105
Ephrata, PA 17522-1761
Phone (717) 466-5420

Other names 1

  • Susan Lynn Martz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140915001482 PA Practitioner - Nurse Practitioner 3274757752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

845 Helen Dr
Lebanon, PA 17042-7493
Phone (717) 639-2955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024169020VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince Jun 1, 2014 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Jun 9, 2025 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Tower Health Medical Group CurrentSince Jun 1, 2014 Accepting new patients
Wellspan Medical Group CurrentSince Jun 9, 2025 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

175 Martin Ave
Ste 105
Ephrata, PA 17522
Phone (717) 466-5420

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785

845 Helen Dr
Lebanon, PA 17042
Phone (717) 273-8835

701 Leon Ave
Palmyra, PA 17078
Phone (717) 256-1820

30 W Swartzville Rd
Reinholds, PA 17569
Phone (717) 466-5420

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

301 S 7th Ave
Ste 1020
West Reading, PA 19611
Phone (484) 628-8408

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

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

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

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

35 Monument Rd
Ste 204
York, PA 17403
Phone (717) 851-1990

Interoperability endpoints

  • Direct secure messaging: hwile227099@wellspan.direct-ci.com

Organizations & group practices 7

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 3

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": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1336458975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 HELEN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427493",
            "telephone_number": "717-273-8835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Monument Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035074",
            "country_code": "US",
            "telephone_number": "717-851-2443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 W Swartzville Rd",
            "address_purpose": "LOCATION",
            "city": "Reinholds",
            "state": "PA",
            "postal_code": "175699641",
            "country_code": "US",
            "telephone_number": "717-466-5420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Erick Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013111",
            "country_code": "US",
            "telephone_number": "717-466-5420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-851-2443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Leon Ave",
            "address_purpose": "LOCATION",
            "city": "Palmyra",
            "state": "PA",
            "postal_code": "170783554",
            "country_code": "US",
            "telephone_number": "717-273-8835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Martin Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221761",
            "country_code": "US",
            "telephone_number": "717-466-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP011177",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024169020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MARTZ",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.