Individual provider Active NPI

Gina Marie Reppert, PA-C

  • Physician Assistant
  • New Holland, PA
National Provider Identifier
1346675675
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA056349 Issued in PA
Practice address
435 S Kinzer Ave
New Holland, PA 17557-8706
Phone
(717) 351-2419
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056349 PA Primary
Physician Assistant 363A00000X OA003220 PA

Addresses

Primary practice location

435 S Kinzer Ave
New Holland, PA 17557-8706

Mailing address

435 S Kinzer Ave
New Holland, PA 17557-8706
Phone (717) 351-2419

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
I20131217001431 PA Practitioner - Physician Assistant 7416184510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
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)

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

446 N Reading Rd
Ephrata, PA 17522-9802

446 N Reading Rd FL
2 Wellspan Thoracic Surgery
Ephrata, PA 17522-9802
Phone (717) 356-5864

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA056349PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ephrata Community Hospital CurrentSince Jan 1, 2014 Accepting new patients
Wellspan Medical Group CurrentSince Apr 30, 2018 Accepting new patients
Wellspan Medical Group CurrentSince Apr 30, 2018 Accepting new patients
Ephrata Community Hospital CurrentSince Jan 1, 2014 Accepting new patients

Locations

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

435 S Kinzer Ave
New Holland, PA 17557
Phone (717) 351-2419

435 S Kinzer Ave
Ste 9
New Holland, PA 17557
Phone (717) 351-2419

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

  • Direct secure messaging: greppert16143@wellspan.direct-ci.com

Organizations & group practices 5

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 4

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": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1346675675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 S KINZER AVE",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175578706",
            "telephone_number": "717-351-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S KINZER AVE",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175578706",
            "telephone_number": "717-351-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPPERT",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056349",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Holland, PA

Sources for this page

Verify at the official NPI Registry.