Individual provider Active NPI

Carolyn S Deloe, CRNP

  • Family Nurse Practitioner
  • Gettysburg, PA
National Provider Identifier
1538198130
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP006628B Issued in PA
Practice address
1275 York Rd Ste 17
Gettysburg, PA 17325-7565
Phone
(717) 337-9400
Fax
(717) 337-1205
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R152040 MD
Family Nurse Practitioner 363LF0000X SP006628B PA Primary

Addresses

Primary practice location

1275 York Rd Ste 17
Gettysburg, PA 17325-7565

Mailing address

116 S George St
York, PA 17401-1474
Phone (717) 846-5846

Other identifiers 7

IdentifierTypeStateIssuer
105161OtherPAJOHNS HOPKINS
50081734OtherPACAPITAL BLUE CROSS-WMG
1916438OtherPAHIGHMARK FREEDOM BLUE
1551672OtherPAGATEWAY-YH
50061346OtherPACAPITAL BLUE CROSS-YH
1082034OtherPAHEALTH AMERICA/HEALTH ASSURANCE
617840OtherMDCAREFIRST MD BCBS

Other names 1

  • Carolyn L Spalding Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP006628BPAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carolyn.deloe@direct-address.net
  • Direct secure messaging: carolyn.deloe1@direct-address.net
  • Direct secure messaging: carolyn.deloe.1@7492.direct.athenahealth.com

Organizations & group practices 1

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1538198130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474",
            "telephone_number": "717-846-5846",
            "fax_number": "717-854-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK RD STE 17",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257565",
            "telephone_number": "717-337-9400",
            "fax_number": "717-337-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOE",
        "first_name": "CAROLYN",
        "middle_name": "S",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R152040",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP006628B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS",
            "identifier": "105161",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS-WMG",
            "identifier": "50081734",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK FREEDOM BLUE",
            "identifier": "1916438",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY-YH",
            "identifier": "1551672",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS-YH",
            "identifier": "50061346",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/HEALTH ASSURANCE",
            "identifier": "1082034",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD BCBS",
            "identifier": "617840",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "SPALDING",
            "middle_name": "L",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.