Wellspan Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WELLSPAN MEDICAL GROUP

Doing business as

WellSpan Family Medicine - Mercersburg

Practice address

2 Keefer Dr
Mercersburg, PA 17236-1732

Phone

(717) 328-2119

Fax

(717) 328-0071

NPI assigned

Dec 23, 2022

Last updated

Dec 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Frank

Title

Credentialing Manager

Phone

(717) 851-6832

Specialties & licenses 1

Addresses

Other names 1

• WellSpan Family Medicine - Mercersburg Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin Alford, CRNA

  • Certified Registered Nurse Anesthetist
  • York, PA
  • NPI 1407609605
  NPD
• Punitha Arunkumar, MD

  • Infectious Disease Physician
  • York, PA
  • NPI 1174572291
  NPD
• Renwu Chen, M.D.

  • Neurology Physician
  • York, PA
  • NPI 1447406004
  NPD
• Najeem Fazil Habibullah, MD

  • Hospitalist Physician
  • Gettysburg, PA
  • NPI 1114280179
  NPD
• Tehmina Haq, MD

  • Internal Medicine Physician
  • Waynesboro, PA
  • NPI 1528253630
  NPD
• Smitha Nair, M.D.

  • Family Medicine Physician
  • Gettysburg, PA
  • NPI 1124171038
  NPD
• Vanessa Ann Pabon

  • Physician Assistant
  • Ephrata, PA
  • NPI 1366954679
  NPD
• Morgan Pontillo, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chambersburg, PA
  • NPI 1679258099
  NPD
• Jill Elizabeth Ramirez, CRNP

  • Neonatal Nurse Practitioner
  • York, PA
  • NPI 1134981673
  NPD
• Erika Reindollar, CRNP

  • Family Nurse Practitioner
  • Gettysburg, PA
  • NPI 1891453999
  NPD
• Gabrielle Nicole Wall, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lebanon, PA
  • NPI 1730068602
  NPD
• Todd E Wolf, M.D.

  • Hematology & Oncology Physician
  • Lancaster, PA
  • NPI 1619952462
  NPD

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1407568298",
    "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": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KEEFER DR",
            "city": "MERCERSBURG",
            "state": "PA",
            "postal_code": "172361732",
            "telephone_number": "717-328-2119",
            "fax_number": "717-328-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "717-851-6832"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpan Family Medicine - Mercersburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Simms, RDH
• Amanda Snider, DPT
• Adrienne Stoner
• Carey Elizabeth Strong, CRNP
• SVM1 Pharma Inc (Modnur Prescription Pharmacy Inc)
• Nicholas Wendell, D.C.
• Cathy E Wilt
• Heather Louise Wolfe, PA-C

• Family Medicine Physician in Mercersburg, PA
• Providers in Mercersburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.