Individual provider Active NPI

Bethany Gale Sampsell, CRNP

  • Adult Health Nurse Practitioner
  • York, PA
National Provider Identifier
1497189500
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP012302 Issued in PA
Practice address
1777 5TH Ave
York, PA 17403-2632
Phone
(717) 843-8051
Fax
(717) 848-2578
NPI assigned
Aug 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP012302 PA Primary

Addresses

Primary practice location

1777 5TH Ave
York, PA 17403-2632

Mailing address

2112 Harrisburg Pike
Suite 312
Lancaster, PA 17601-2644
Phone (717) 544-3022

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
I20150223001581 PA Practitioner - Nurse Practitioner 5698098051 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Pennsylvania State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

98 Masonic Dr
Suite 101
Elizabethtown, PA 17022-2569
Phone (717) 361-8449

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Hospital CurrentSince Feb 2, 2015 Accepting new patients
Lanaster General Hospital CurrentSince Feb 2, 2015 Accepting new patients
Wellspan Medical Group CurrentSince Mar 28, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Mar 28, 2021 Accepting new patients
T.W. Ponessa & Associates Counseling Services, Inc. CurrentSince Nov 1, 2016 Accepting new patients

Locations

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

410 N Prince St
Lancaster, PA 17603

2112 Harrisburg Pike
Ste 312
Lancaster, PA 17601
Phone (717) 544-3022

15 S 9th St
Lebanon, PA 17042
Phone (717) 273-5992

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

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

1777 5th Ave
York, PA 17403
Phone (717) 843-8051

Interoperability endpoints

  • Direct secure messaging: bsampsell276489@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.

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1497189500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 HARRISBURG PIKE",
            "address_2": "SUITE 312",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3022",
            "fax_number": "717-544-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 5TH AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032632",
            "telephone_number": "717-843-8051",
            "fax_number": "717-848-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSELL",
        "first_name": "BETHANY",
        "middle_name": "GALE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP012302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.