NPIMap

Organization Active NPI

Upmc Muncy

  • Ambulatory Surgical Clinic/Center
  • Muncy, PA
National Provider Identifier
1467537738
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
134301 Issued in PA
Legal business name
UPMC MUNCY
Practice address
215 E Water St
Muncy, PA 17756-8828
Phone
(570) 546-8282
Fax
(570) 326-8601
NPI assigned
Oct 26, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
UPMC SUSQUEHANNAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mr. Roger C Yost
Title
Cfo
Phone
(570) 321-3175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 134301 PA Primary

Addresses

Primary practice location

215 E Water St
Muncy, PA 17756-8828

Mailing address

600 Grant Street US Steel Tower
59TH Floor C/O Renee Johnson
Pittsburgh, PA 15219-2740
Phone (412) 623-6303

Other identifiers 11

IdentifierTypeStateIssuer
1004905OtherPAKEYSTONE MERCY HEALTH PIN
391301OtherPABLUE CROSS PIN
000111OtherPAAMERIHEALTH ADMINSTR PIN
309502OtherPABLACK LUNG PROGRAM PIN
391301OtherPAHEALTH AMERICA PIN
391301OtherPAHEALTH ASSURANCE PIN
391301OtherPAAETNA PIN
058074OtherPAFIRST PRIORITY HEALTH PIN
1007607800006MedicaidPA
20020966OtherPAAMERIHEALTH HMO AMER PIN
29430OtherPAGEISINGER HEALTH PLAN PIN

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL uconnect.upmc.com Other
Direct Messaging Address UPMCHospitals@upmcdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210526001810 PA Part A Provider - Critical Access Hospital 5395834147 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Muncy, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467537738. Details of each certification follow.

Hospital certification: CCN 391301

Legal name
UPMC MUNCY
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2001
Last certification
Nov 9, 2023
Beds
20
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
215 E Water St
Muncy, PA 17756-8828
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Upmc MuncyCCN 391301 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1205 Grampian Blvd
Fl 2
Williamsport, PA 17701

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vijayant Singh Individual Corporate DirectorBoard Member May 1, 2025
Upmc Susquehanna Organization, Williamsport, PA Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Oct 1, 2017 100%
Patricia Jackson Gehris Individual Corporate DirectorSecretary Jan 15, 2019
Kim M Brown Individual Corporate DirectorBoard Member Apr 15, 2024
Christine Nolan Individual Corporate DirectorBoard Member Jul 1, 2020
Brian M Engel Individual Corporate OfficerAssistant Treasurer Apr 15, 2024
Teresa Ann Jacobs Individual Contracted Managing EmployeeConsultant Mar 26, 2012
Corporate DirectorChairperson Jan 26, 2012
Roger Jarrett Individual Corporate DirectorVice Chair Jan 15, 2019
Andrea Reed Individual Corporate OfficerAssistant Secretary Oct 6, 2025
Laura Tolson Individual Corporate DirectorBoard Member Jan 8, 2026
Peter Trevouledes Individual Corporate DirectorBoard Member Jun 8, 2010
Roger C Yost Individual Corporate OfficerCfo / Treasurer Aug 15, 2022
W-2 Managing EmployeeCfo Aug 15, 2022
Upmc Organization, Pittsburgh, PA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2017 100%
Ann S Pepperman Individual Corporate DirectorBoard Member Jan 1, 2023

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 156

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 156

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1467537738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRANT STREET US STEEL TOWER",
            "address_2": "59TH FLOOR C/O RENEE JOHNSON",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152192740",
            "telephone_number": "412-623-6303",
            "fax_number": "412-623-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E WATER ST",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177568828",
            "telephone_number": "570-546-8282",
            "fax_number": "570-326-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC MUNCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPMC SUSQUEHANNA",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "YOST",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "570-321-3175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "134301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH PIN",
            "identifier": "1004905",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "391301",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINSTR PIN",
            "identifier": "000111",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG PROGRAM PIN",
            "identifier": "309502",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA PIN",
            "identifier": "391301",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE PIN",
            "identifier": "391301",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "391301",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH PIN",
            "identifier": "058074",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007607800006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO AMER PIN",
            "identifier": "20020966",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN PIN",
            "identifier": "29430",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "uconnect.upmc.com",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.552.100.2.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "600 Grant St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCHospitals@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure direct address for this UPMC Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "215 E Water St",
            "city": "Muncy",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177568828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncy, PA

Sources for this page

Verify at the official NPI Registry.