Individual provider Active NPI

Zhanna Demyantsev, CRNP

  • Family Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1497436323
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN599725 Issued in PA
Practice address
2135 Noll Dr Ste D
Lancaster, PA 17603-7602
Phone
(223) 900-4126
Fax
(717) 312-3138
NPI assigned
Jul 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN599725 PA Primary

Addresses

Primary practice location

2135 Noll Dr Ste D
Lancaster, PA 17603-7602

Mailing address

2135 Noll Dr Ste D
Lancaster, PA 17603-7602
Phone (223) 202-7001

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
I20230830003274 PA Practitioner - Nurse Practitioner 6800259342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians

Practice addresses (Care Compare)

2135 Noll Dr
Suite D
Lancaster, PA 17603-7602
Phone (223) 202-7000

Hospital & facility affiliations

  • Penn State Health Lancaster Medical Center Hospital, Lancaster, PA, CCN 390339
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN599725PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Lititz Oral Surgery PastSince Mar 1, 2024 Accepting new patients

Locations

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

2135 Noll Dr
Ste D
Lancaster, PA 17603
Phone (223) 202-7000

Organizations & group practices 4

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 2

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": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1497436323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 NOLL DR STE D",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037602",
            "telephone_number": "223-202-7001",
            "fax_number": "717-312-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 NOLL DR STE D",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037602",
            "telephone_number": "223-900-4126",
            "fax_number": "717-312-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMYANTSEV",
        "first_name": "ZHANNA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "RN599725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.