Individual provider Active NPI

Gregory Ryan Nolt

  • Certified Registered Nurse Anesthetist
  • Lebanon, PA
National Provider Identifier
1497308654
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN650306 Issued in PA
Practice address
252 S 4TH St
Lebanon, PA 17042-6111
Phone
(717) 270-7500
Fax
(717) 228-1642
NPI assigned
Jul 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 650306 PA
Certified Registered Nurse Anesthetist 367500000X RN650306 PA Primary

Addresses

Primary practice location

252 S 4TH St
Lebanon, PA 17042-6111

Mailing address

601 Memory Lane
N/a
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200115000703 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325473648 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia, Pennsylvania , LLCGroup PAC ID 7517960834, 302 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

206 E Brown St
East Stoudsburg, PA 18301-3006
Phone (570) 421-4000

2160 State Rd
Lancaster, PA 17601-1812
Phone (800) 243-1455

252 S 4TH St
Lebanon, PA 17042-6111
Phone (717) 270-7500

8835 Germantown Ave
Phila, PA 19118-2718
Phone (215) 248-8227

Hospital & facility affiliations

  • Penn State Health Lancaster Medical Center Hospital, Lancaster, PA, CCN 390339
  • Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
650306PAMDRegistered Nurse
RN650306PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Assoc of Lancaster LTD Nurse Anesthetist, Certified Registered CurrentSince Jan 16, 2024 Accepting new patients
Lehigh Anesthesia Associates, P.C. CurrentSince Nov 1, 2024 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 17, 2022 Accepting new patients
Pennsylvania Anesthesia Coalition LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Associates in Anesthesia, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Oct 31, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Oct 31, 2022 Accepting new patients
Orthopedic Assoc of Lancaster LTD CurrentSince Jan 16, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Associates in Anesthesia Past Accepting new patients

Locations

1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147

30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

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

170 N Pointe Blvd
Lancaster, PA 17601

875 Norman Dr
Lebanon, PA 17042
Phone (717) 272-2010

1701 Cornwall Rd
Ste 200
Lebanon, PA 17042

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

1001 James Dr
Leesport, PA 19533
Phone (215) 237-2103

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

50 Commerce Dr
Wyomissing, PA 19610
Phone (610) 320-0200

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

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

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

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/

Organizations & group practices 10

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 4

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": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1497308654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LANE",
            "address_2": "N/A",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 S 4TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426111",
            "telephone_number": "717-270-7500",
            "fax_number": "717-228-1642"
        }
    ],
    "practiceLocations": [
        {
            "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": "NOLT",
        "first_name": "GREGORY",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-17",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "650306",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN650306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.