Individual provider Active NPI

Rise Perry, CRNP

  • Gerontology Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1588076434
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP013092 Issued in PA
Practice address
802 New Holland Ave
Suite 200
Lancaster, PA 17602-2287
Phone
(717) 291-0700
Fax
(717) 291-9634
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP013092 PA
Gerontology Nurse Practitioner 363LG0600X SP013092 PA Primary

Addresses

Primary practice location

802 New Holland Ave
Suite 200
Lancaster, PA 17602-2287

Mailing address

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

Other practice location 1

140 N Pointe Blvd
Lancaster, PA 17601-4132
Phone (717) 291-0700

Other practice location 2

169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 738-6423

Other practice location 3

446 N Reading Rd
Ephrata, PA 17522-9802
Phone (717) 738-0167

Other practice location 4

435 S Kinzer Ave
New Holland, PA 17557-8706
Phone (717) 354-6676

Other practice location 5

157 N Reading Rd
Ephrata, PA 17522-1671
Phone (717) 356-4660

Other practice location 6

12 St Paul Dr
Chambersburg, PA 17201-1035
Phone (717) 217-6886

Other practice location 7

30 Monument Rd
York, PA 17403-5024
Phone (717) 851-2441

Other identifiers 1

IdentifierTypeStateIssuer
358527FLTOtherPAMEDICARE

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
I20140819002118 PA Practitioner - Nurse Practitioner 8921225715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

446 N Reading Rd
302 Wellspan Cardiology
Ephrata, PA 17522-9802
Phone (717) 738-0167

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP013092PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group Nurse Practitioner CurrentSince May 5, 2017 Accepting new patients
Wellspan Medical Group CurrentSince May 5, 2017 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

12 St Paul Dr
Ste 204
Chambersburg, PA 17201
Phone (717) 217-6886

12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

446 N Reading Rd
Ste 302
Ephrata, PA 17522
Phone (717) 721-5868

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

802 New Holland Ave
Ste 200
Lancaster, PA 17602
Phone (717) 291-0700

140 N Pointe Blvd
Lancaster, PA 17601
Phone (717) 291-0700

435 S Kinzer Ave
New Holland, PA 17557
Phone (717) 351-2419

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

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

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

Interoperability endpoints

  • Direct secure messaging: rperry16145@wellspan.direct-ci.com

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1588076434",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 NEW HOLLAND AVE",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022287",
            "telephone_number": "717-291-0700",
            "fax_number": "717-291-9634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 N Pointe Blvd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014132",
            "country_code": "US",
            "telephone_number": "717-291-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221734",
            "country_code": "US",
            "telephone_number": "717-738-6423",
            "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": "717-738-0167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 S Kinzer Ave",
            "address_purpose": "LOCATION",
            "city": "New Holland",
            "state": "PA",
            "postal_code": "175578706",
            "country_code": "US",
            "telephone_number": "717-354-6676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "157 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221671",
            "country_code": "US",
            "telephone_number": "717-356-4660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-217-6886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Monument Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035024",
            "country_code": "US",
            "telephone_number": "717-851-2441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "RISE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP013092",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP013092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "358527FLT",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.