Individual provider Active NPI

Bradley Vancosky

  • Family Nurse Practitioner
  • Carlisle, PA
National Provider Identifier
1588435804
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP028473 Issued in PA
Practice address
1175 Walnut Bottom Rd
Carlisle, PA 17015-9160
Phone
(717) 258-9355
NPI assigned
Jan 15, 2024
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 SP028473 PA Primary
Primary Care Nurse Practitioner 363LP2300X SP028473 PA

Addresses

Primary practice location

1175 Walnut Bottom Rd
Carlisle, PA 17015-9160

Mailing address

12 Appaloosa Way
Carlisle, PA 17015-9073

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bvancosky306302@upmc.direct-ci.com

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
I20240304002051 PA Practitioner - Nurse Practitioner 9830534569 Reassigns benefits to 2 organizations

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
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

1175 Walnut Bottom Rd
Upmc Gohealth Urgent Care
Carlisle, PA 17015-9160
Phone (717) 601-2190

4655 William Flynn Hwy
Suite 110 Upmc Gohealth Urgent Care
Allison Park, PA 15101-2248
Phone (412) 486-3027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP028473PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Apr 1, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 1, 2024 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients

Locations

4510 Marketplace Way
Enola, PA 17025
Phone (717) 547-6108

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

6481 Carlisle Pike
Mechanicsburg, PA 17050
Phone (717) 516-6396

Interoperability endpoints

  • Direct secure messaging: bvancosky21369@gohealthupmc.direct-ci.com
  • Direct secure messaging: bvancosky265673@phsdirect.pinnaclehealth.org
  • Direct secure messaging: bvancosky306302@upmc.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1588435804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 APPALOOSA WAY",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 WALNUT BOTTOM RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159160",
            "telephone_number": "717-258-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCOSKY",
        "first_name": "BRADLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2026-09-02",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028473",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP028473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bvancosky306302@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.