Individual provider Active NPI

Elizabeth Adwa

  • Psychiatric/Mental Health Nurse Practitioner
  • York, PA
National Provider Identifier
1396224895
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP019191 Issued in PA
Practice address
116 S George St
York, PA 17401-1474
Phone
(717) 845-8617
NPI assigned
Aug 7, 2018
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X L1-0038249 DE
Registered Nurse 163W00000X RN606784 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010246 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP019191 PA Primary

Addresses

Primary practice location

116 S George St
York, PA 17401-1474

Mailing address

116 S George St
York, PA 17401-1474
Phone (717) 845-8617

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
I20181203003346 PA Practitioner - Nurse Practitioner 7719221670 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Health CorporationGroup PAC ID 8022910207, 23 clinicians

Practice addresses (Care Compare)

116 S George St
York, PA 17401-1474
Phone (717) 845-8617

1230 High St
Hanover, PA 17331-1127
Phone (717) 632-9052

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0038249DEMDRegistered Nurse
RN606784PAMDRegistered Nurse
L8-0010246DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Human Services, Inc. CurrentSince Apr 22, 2024 Accepting new patients
Human Services, Inc CurrentSince Apr 22, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Feb 1, 2021 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Family First Health Corporation CurrentSince Jan 27, 2025 Accepting new patients
Tower Health Medical Group CurrentSince Feb 1, 2021 Accepting new patients
Family First Health Corporation CurrentSince Jan 27, 2025 Accepting new patients

Locations

50 James Buchanan Rd
Thorndale, PA 19372
Phone (610) 200-6222

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

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

116 S George St
York, PA 17401
Phone (717) 801-4846

Interoperability endpoints

  • Direct secure messaging: elizabeth.adwa.1@7492.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1396224895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474",
            "telephone_number": "717-845-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474",
            "telephone_number": "717-845-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADWA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0038249",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN606784",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010246",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP019191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.