Individual provider Active NPI

Heidi Wilkerson, CRNP

  • Family Nurse Practitioner
  • York, PA
National Provider Identifier
1528436219
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015279 Issued in PA
Practice address
2149 S Queen St
York, PA 17403-4845
Phone
(717) 356-4460
Fax
(717) 260-3326
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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 SP015279 PA Primary

Addresses

Primary practice location

2149 S Queen St
York, PA 17403-4845

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

9 Nathan Ln # A
Annville, PA 17003-6500
Phone (717) 639-3350

Other practice location 2

2250 E Market St
York, PA 17402-2857
Phone (717) 851-1566

Other practice location 3

4050 N George Street Ext
Manchester, PA 17345-9347
Phone (717) 356-4370

Other practice location 4

717 Town Center Drive
York, PA 17408-4824
Phone (717) 356-4240

Other practice location 5

446 N Reading Rd
Ephrata, PA 17522-9802
Phone (717) 738-5275

Other practice location 6

100 Eisenhower Dr
Hanover, PA 17331-5241
Phone (717) 646-4201

Other practice location 7

455 S Washington St Ste 12
Gettysburg, PA 17325-2516
Phone (717) 339-2875

Other practice location 8

101 W Airport Rd
Lititz, PA 17543-9274
Phone (717) 466-2445

Other practice location 9

96 Sofia Dr Ste 208
Shrewsbury, PA 17361-5201
Phone (717) 812-2400

Other names 1

  • Heidi Marie Brent Former name

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
I20151209002563 PA Practitioner - Nurse Practitioner 0941501324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

2250 E Market St
Wellspan Urgent Care
York, PA 17402-2857
Phone (717) 851-1566

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Jan 26, 2019 Accepting new patients
Wellspan Medical Group CurrentSince Jan 26, 2019 Accepting new patients

Locations

9 Nathan Ln
#A
Annville, PA 17003
Phone (717) 639-3350

446 N Reading Rd
Ephrata, PA 17522
Phone (717) 738-4334

455 S Washington St
Ste 12
Gettysburg, PA 17325
Phone (717) 334-1800

100 Eisenhower Dr
Hanover, PA 17331
Phone (717) 646-4201

101 W Airport Rd
Lititz, PA 17543
Phone (717) 466-2445

4050 N George Street Ext
Manchester, PA 17345
Phone (717) 356-4370

96 Sofia Dr
Ste 208
Shrewsbury, PA 17361
Phone (717) 812-2400

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

717 Town Center Dr
York, PA 17408
Phone (717) 356-4240

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

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

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

1001 S George St
Bldg Mkb
York, PA 17403
Phone (717) 851-2521

2149 S Queen St
York, PA 17403
Phone (717) 356-4460

1001 S George St
York, PA 17403
Phone (717) 812-7687

2250 E Market St
York, PA 17402
Phone (717) 812-6670

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

Interoperability endpoints

  • Direct secure messaging: hwilkerson15297@wellspan.direct-ci.com

Organizations & group practices 3

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": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1528436219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034845",
            "telephone_number": "717-356-4460",
            "fax_number": "717-260-3326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Nathan Ln # A",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "PA",
            "postal_code": "170036500",
            "country_code": "US",
            "telephone_number": "717-639-3350",
            "fax_number": "717-303-3546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 E Market St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174022857",
            "country_code": "US",
            "telephone_number": "717-851-1566",
            "fax_number": "717-812-3950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4050 N George Street Ext",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "PA",
            "postal_code": "173459347",
            "country_code": "US",
            "telephone_number": "717-356-4370",
            "fax_number": "717-260-3316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 Town Center Drive",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174084824",
            "country_code": "US",
            "telephone_number": "717-356-4240",
            "fax_number": "717-356-4241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "446 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229802",
            "country_code": "US",
            "telephone_number": "717-738-5275",
            "fax_number": "717-738-5278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Eisenhower Dr",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173315241",
            "country_code": "US",
            "telephone_number": "717-646-4201",
            "fax_number": "717-646-4202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 S Washington St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252516",
            "country_code": "US",
            "telephone_number": "717-339-2875",
            "fax_number": "717-334-3921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175439274",
            "country_code": "US",
            "telephone_number": "717-466-2445",
            "fax_number": "717-466-2447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 Sofia Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "PA",
            "postal_code": "173615201",
            "country_code": "US",
            "telephone_number": "717-812-2400",
            "fax_number": "717-812-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "HEIDI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "BRENT",
            "middle_name": "MARIE",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.