Individual provider Active NPI

Elana Rachel Davis, CRNP

  • Family Medicine Physician
  • York, PA
National Provider Identifier
1609348275
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP019802 Issued in PA
Practice address
1575 Bannister St Ste 1
York, PA 17404-4946
Phone
(717) 812-2000
NPI assigned
Dec 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP019802 PA Primary

Addresses

Primary practice location

1575 Bannister St Ste 1
York, PA 17404-4946

Mailing address

925 Stonewood Rd
York, PA 17402-8112

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
I20190125000044 PA Practitioner - Nurse Practitioner 1759628902 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 14, 2019 Accepting new patients
Sadler Health Center Corporation CurrentSince Apr 1, 2025 Accepting new patients
Sadler Health Center Corporation CurrentSince Apr 1, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Jan 14, 2019 Accepting new patients
Sadler Health Center Corporation Past Accepting new patients

Locations

100 N Hanover St
Carlisle, PA 17013
Phone (717) 218-6670

5210 E Trindle Rd
Mechanicsburg, PA 17050
Phone (717) 218-6670

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

1575 Bannister St
Ste 1
York, PA 17404
Phone (717) 812-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EABGBA

Organizations & group practices 6

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": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1609348275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 STONEWOOD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BANNISTER ST STE 1",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174044946",
            "telephone_number": "717-812-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ELANA",
        "middle_name": "RACHEL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP019802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.