Janice A Brightman, F.N.P.
Individual provider Active NPI Family Nurse Practitioner · Gordonville, PA
NPI 1578680997 · NPPES record last updated Mar 25, 2010
Key facts
- NPI
- 1578680997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F330599-1 (NY)
- Practice address
- 3413 Harvest Drive
Gordonville, PA 17529 - Phone
- (717) 768-7141
- Fax
- (717) 768-3528
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090415000463 | PA | Practitioner - Nurse Practitioner | 7911054697 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F330599-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Medical Group | Current |
Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Current |
Accepting new patients | |
| Northern Lancaster County Medical Group | Past | Accepting new patients | |
| Chenango Memorial Hospital, Inc. | Past | Accepting new patients | |
| Northern Lancaster County Medical Group | Past | Accepting new patients |
Locations
3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644
676 E Main St
New Holland, PA 17557
Phone (717) 354-4671
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F330599-1 | NY | Yes |
Addresses
Primary practice location
3413 Harvest Drive
Gordonville, PA 17529
Mailing address
337 W Main Street
Leola, PA 17540
Phone (717) 656-6122
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50089950 | Other | PA | BLUE CROSS |
| 500009265 | Other | RR MEDICARE | |
| 000F330599 | Medicaid | NY |
Other providers in Gordonville, PA
- Karlla Welch Brigatti
- Vincent Joseph Carson
- Jill Van Earl
- David A Fulginiti
- Gordonville Fire Company
- Gordonville Fire Company Ambulance
All providers in Gordonville, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2010. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.