Active NPI
Robin Woollens Lynn, CRNP
- Nurse Practitioner
- Ephrata, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP015970
- Practice address
- 175 Martin Ave
Suite 125
Ephrata, PA 17522-1761 - Phone
- (717) 721-5700
- Fax
- (717) 721-5712
- NPI assigned
- Mar 30, 2016
- Last updated
- Jun 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | SP015970 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP015970 | PA | |
| Nurse Practitioner | 363L00000X | SP015970 | PA | Primary |
Addresses
Primary practice location
175 Martin Ave
Suite 125
Ephrata, PA 17522-1761
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 721-5712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103106140 | Medicaid | PA |
Other names 1
- Robin W Brubaker
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP015970 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Reading Pediatrics, Inc. | Past | Accepting new patients |
Locations
175 Martin Ave
Ste 125
Ephrata, PA 17522
266 Granite Run Dr
Lancaster, PA 17601
Phone (717) 733-6546
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
Interoperability endpoints
- rlynn@readingpediatrics.opdirect.net
- rbrubaker@direct-address.net
Organizations & group practices 4
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.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan Urgent Care
- Urgent Care Clinic/Center
- Annville, PA
- NPI 1467072553
-
- Pediatrics Physician
- Wyomissing, PA
- NPI 1477590727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1437512258",
"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": "717-721-5712",
"fax_number": "717-721-5712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MARTIN AVE",
"address_2": "SUITE 125",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175221761",
"telephone_number": "717-721-5700",
"fax_number": "717-721-5712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "ROBIN",
"middle_name": "WOOLLENS",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-30",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "SP015970",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP015970",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP015970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103106140",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "BRUBAKER",
"middle_name": "W",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.