Breanna Marie Ober, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA055548 Issued in PA

Practice address

101 W Airport Rd
Lititz, PA 17543-9274

Phone

(717) 466-2445

Fax

(717) 466-2447

NPI assigned

Jul 19, 2012

Last updated

Jul 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Breanna Marie Hinkle Former name

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

Specialty

Physician Assistant

Education

Other, 2012

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)

Hospital & facility affiliations

• Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bober73518@wellspan.direct-ci.com

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.

• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment Care Compare group
• The Good Samaritan Hospital of Lebanon, Pennsylvania

  dba WellSpan Good Samaritan Hospital

  • Emergency Medicine Physician
  • Lebanon, PA
  • NPI 1730754284
  Medicare reassignment NPD
• Emergency Care Services of Pennsylvania, P.C.

  • Emergency Medicine Physician
  • Langhorne, PA
  • NPI 1114955010
  Medicare reassignment
• Emergency Care Services of Pennsylvania, P.C.

  • Emergency Medicine Physician
  • Wilkes Barre, PA
  • NPI 1235374927
  NPD
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  dba Wellspan Family Medicine - East Berlin

  • Family Medicine Physician
  • East Berlin, PA
  • NPI 1649348525
  NPD
• Wellspan Medical Group

  dba WellSpan Urgent Care

  • Urgent Care Clinic/Center
  • Annville, PA
  • NPI 1467072553
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Good Samaritan Hospital of Lebanon, Pennsylvania

  dba WellSpan Good Samaritan Hospital

  • Ambulatory Surgical Clinic/Center
  • Lebanon, PA
  • NPI 1205902343

  Hospital

  Care Compare affiliation
• The Good Samaritan Hospital of Lebanon, Pennsylvania

  dba WellSpan Good Samaritan Hospital

  • General Acute Care Hospital
  • Lebanon, PA
  • NPI 1407928500
  Care Compare affiliation
• The Good Samaritan Hospital of Lebanon, Pennsylvania

  dba WellSpan Good Samaritan Hospital

  • Emergency Medicine Physician
  • Lebanon, PA
  • NPI 1730754284

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1366797938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-466-2445",
            "fax_number": "717-466-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W AIRPORT RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439274",
            "telephone_number": "717-466-2445",
            "fax_number": "717-466-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBER",
        "first_name": "BREANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "HINKLE",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Now You Soar L. L. C.
• Tochukwu Arinze Nwosu, MB.BS
• Ellen M. O'Mara, D.O., F.A.O.C.R.
• Gregory Robert James O'Neill, D.C.
• Michele O'Neill, CRNP
• Jayme Lyn Ober, OTR/L
• Marlena Okurowski
• Olde Hickory Pharmacy Inc
• Carrie R Olena, HIS
• Brianna Lynn Olivieri, RD

• Medical Physician Assistant in Lititz, PA
• Providers in Lititz, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.