Penn State Health Medical Group, LLC
Organization Active NPI Hospitalist Physician · Camp Hill, PA
NPI 1497409155 · NPPES record last updated Jul 29, 2026
Key facts
- NPI
- 1497409155
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- PENN STATE HEALTH MEDICAL GROUP, LLC
- Practice address
- 503 N 21St St
Camp Hill, PA 17011-2204 - Phone
- (717) 972-4448
- Fax
- (717) 972-7366
- NPI assigned
- Feb 10, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- PENN STATE HEALTH
Authorized official
- Name
- Tracy L Moyer-Swinko
- Title
- VP/Chief Financial Officer
- Phone
- (717) 531-8477
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 16
Practitioners 58
-
Kathleen Mary Biblowitz, M.D.
-
Angela D Blain, CRNP
-
Lisa Marie Bollinger, CRNP
-
Garrett Lamar Boyer, PA-C
-
Carolyn Clemans, CNM
-
Melissa Joanne Dennis, CRNP
-
Megan Drahnak, CRNP
-
Jessica Anne Eager, CRNP
-
Laura Evans, WHNP-BC
-
Mary Ann Fincher, CRNP
-
Patrice E Gruver, CRNP
-
Diana Dee Hillam, ARNP
-
Shayla Ho, PA-C
-
Sarah K Horvath, MD
-
Gurmeet Kaur Kalra, M.D.
-
Jill L Linette, CRNA
-
Wayne P Luckenbill, PA-C
-
Daniel McLaughlin, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170907002279 | PA | Part B Supplier - Clinic/Group Practice | 8729351077 |
Receives reassigned benefits from 970 practitioners 20 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
- Part of
- Penn State Health
Locations
890 Poplar Church Rd
Ste 100
Camp Hill, PA 17011
Phone (717) 737-3465
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician |
2080N0001X | |||
| Hospitalist Physician |
208M00000X | Yes | ||
| Neonatal Nurse Practitioner |
363LN0000X | |||
| Critical Care Neonatal Nurse Practitioner |
363LN0005X |
Addresses
Primary practice location
503 N 21St St
Camp Hill, PA 17011-2204
Mailing address
PO Box 825972
Philadelphia, PA 19182-5972
Phone (717) 531-4859
Other practice location 1
2200 Good Hope Rd
Enola, PA 17025-1210
Phone (717) 972-4448
Other practice location 2
2160 State Rd
Lancaster, PA 17601-1812
Phone (223) 202-7620
Other practice location 3
2500 Bernville Rd
Reading, PA 19605-9453
Phone (610) 378-2735
Other providers in Camp Hill, PA
- Penn State Health Life Lion, LLC
- Penn State Health Medical Group, LLC
- Penn State Health Medical Group, LLC
- Penn State Health Medical Group, LLC
- Penn State Health Medical Group, LLC
- Penn State Health Medical Group, LLC
- Penn State Health Medical Group, LLC
- Penn State Health Medical Group, LLC
- Linda J Penney
- John Leslie Pennock
All providers in Camp Hill, PA · Hospitalist Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.