Individual provider Active NPI

Jeremy A Walters, M.D.

  • Psychiatry Physician
  • Lebanon, PA
National Provider Identifier
1457434912
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD424207 Issued in PA
Practice address
239 S Butler Rd
Lebanon, PA 17042-8939
Phone
(717) 273-8871
Fax
(717) 270-2452
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD424207 PA Primary

Addresses

Primary practice location

239 S Butler Rd
Lebanon, PA 17042-8939

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 334-2121

Other practice location 2

101 Euclid Ave
Lancaster, PA 17603-6803
Phone (717) 299-1522

Other practice location 3

252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 821-8017

Other practice location 4

283 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 273-8871

Other practice location 5

112 N 7th St
Chambersburg, PA 17201-1720
Phone (717) 267-7771

Other practice location 6

1001 S George St
York, PA 17403-3676
Phone (717) 851-2304

Other practice location 7

501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-4000

Other practice location 8

169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 733-0311

Other identifiers 2

IdentifierTypeStateIssuer
101002853MedicaidPA
MD424207OtherPASTATE LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625000292 PA Practitioner - Psychiatry 6507842069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PhilhavenGroup PAC ID 8729991419, 93 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

239 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 270-2422

2501 Oregon Pike
Lancaster, PA 17601-4890
Phone (717) 735-1954

252 S 4TH St
Wellspan Philhaven
Lebanon, PA 17042-6111
Phone (717) 821-8017

283 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 270-2422

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD424207PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Jan 21, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Jan 21, 2020 Accepting new patients
Philhaven CurrentSince Jul 7, 2004 Accepting new patients
Philhaven Psychiatry Current Accepting new patients
Lebanon County Commissioners Psychiatry Past Accepting new patients
Wellspan Medical Group Psychiatry Past Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

785 5th Ave
Ste 3
Chambersburg, PA 17201

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

6375 Chambersburg Rd
Fayetteville, PA 17222
Phone (717) 352-2721

147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121

2501 Oregon Pike
Ste 113
Lancaster, PA 17601
Phone (717) 735-1954

283 S Butler Rd
Lebanon, PA 17042

204 Hathaway Park
Lebanon, PA 17042
Phone (717) 274-9777

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

283 Butler Rd
Mount Gretna, PA 17064
Phone (800) 932-0359

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

1001 S George St
York, PA 17403
Phone (717) 812-7687

Interoperability endpoints

  • Direct secure messaging: jwalters38949@wellspan.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1457434912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "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": "239 S BUTLER RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170428939",
            "telephone_number": "717-273-8871",
            "fax_number": "717-270-2452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Gettys St",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252534",
            "country_code": "US",
            "telephone_number": "717-334-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176036803",
            "country_code": "US",
            "telephone_number": "717-299-1522",
            "fax_number": "717-299-2840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-821-8017",
            "fax_number": "717-270-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "283 S Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170428939",
            "country_code": "US",
            "telephone_number": "717-273-8871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011720",
            "country_code": "US",
            "telephone_number": "717-267-7771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-851-2304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-765-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221734",
            "country_code": "US",
            "telephone_number": "717-733-0311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JEREMY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD424207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101002853",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD424207",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.