Wellspan Medical Group
Organization Active NPI Urgent Care Clinic/Center · Hanover, PA
NPI 1396211686 · NPPES record last updated Aug 28, 2026
Key facts
- NPI
- 1396211686
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- WELLSPAN MEDICAL GROUP
- Practice address
- 100 Eisenhower Dr Ste 360
Hanover, PA 17331-5241 - Phone
- (717) 646-4201
- Fax
- (717) 646-4202
- NPI assigned
- Oct 15, 2018
- Organization subpart
- No
Authorized official
- Name
- Jennifer Elaine Sweitzer
- Title
- Director- PFS
- Phone
- (717) 851-6838
Practitioners 71
-
Larry P. Gerhard II, PA-C
-
Lloyd G Goldfarb, M.D.
-
Colby Rhel Horton, PA-C
-
Jason Gregory Houghton, CRNP
-
Jeanette Adelle Linder, M.D.
-
Kishor Singapuri, MD
-
Jonathan R Thiele, CRNA
-
Adam Michael Updegraff, CRNP
-
Ashok Chaudhary, MD
-
Gail Miller, M.D.
-
Mindy Barnhart, CRNP
-
Adam Batog, DO
-
Megan Bleacher McCardell, PA-C
-
Jacob Paul Boehme, PAC
-
Alyx Paige Christenson, CRNP
-
Tara Cooke, CRNP
-
Andrea Cox, CRNP
-
Tomarra M Dalton, CRNP
-
Hallie Deardorff, CRNP
-
Rachael Anne Defarias, PA-C
-
Jon A Dubin, DO
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2156162 | Wellspan Urgent Care - Hanover | Certificate of waiver | Oct 10, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040220000815 | PA | Part B Supplier - Clinic/Group Practice | 1951213115 |
Receives reassigned benefits from 3,390 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
100 Eisenhower Dr
Ste 360
Hanover, PA 17331
Phone (717) 646-4201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
100 Eisenhower Dr Ste 360
Hanover, PA 17331-5241
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 267-7949
Other names
- WellSpan Urgent Care
Other providers in Hanover, PA
- Alan R Weismantel
- Denise Kathleen Wells
- Wellspan Medical Group
- Wellspan Medical Group
- Wellspan Medical Group
- Wellspan Medical Group
- Wellspan Medical Group
- Jesse R. Welter
- Kevin Barry Wentland
- Sadie N Wentland
All providers in Hanover, PA · Urgent Care Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2026. 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.
- 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.