NPIMap

Individual provider Active NPI

Ann Wilt, CRNP

  • Primary Care Nurse Practitioner
  • Hanover, PA
National Provider Identifier
1356890123
Registry record updated Oct 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
561259 Issued in PA
Practice address
250 Fame Ave Ste 135
Hanover, PA 17331-1576
Phone
(717) 632-3235
NPI assigned
Sep 22, 2016
Last updated
Oct 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 561259 PA Primary

Addresses

Primary practice location

250 Fame Ave Ste 135
Hanover, PA 17331-1576

Mailing address

250 Fame Ave Ste 135
Hanover, PA 17331-1576
Phone (717) 632-3235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171026002372 PA Practitioner - Nurse Practitioner 1254614571 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillside Internal Medicine PCGroup PAC ID 2365434198, 3 clinicians

Practice addresses (Care Compare)

250 Fame Ave
Suite 135
Hanover, PA 17331-1576
Phone (717) 632-3235

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.88 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
561259PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice at Lsmnj, Inc. CurrentSince Oct 19, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Oct 1, 2025 Accepting new patients
Hillside Internal Medicine PC CurrentSince Sep 4, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Oct 1, 2025 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Spiricare of New Jersey Inc. PastSince Mar 17, 2025 Accepting new patients

Locations

3 Manhattan Dr
Burlington, NJ 08016
Phone (609) 386-7171

250 Fame Ave
Ste 135
Hanover, PA 17331
Phone (717) 632-3235

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2990 Carlisle Pike
Ste 2101
New Oxford, PA 17350

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540598400000",
    "number": "1356890123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FAME AVE STE 135",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311576",
            "telephone_number": "717-632-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVE STE 135",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311576",
            "telephone_number": "717-632-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILT",
        "first_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2018-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "561259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.