Individual provider Active NPI

Rodrigo Jose Ugalde, CRNP

  • Family Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1619482437
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018067 Issued in PA
Practice address
2112 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644
Phone
(717) 544-3059
NPI assigned
Dec 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP018067 PA Primary

Addresses

Primary practice location

2112 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644

Mailing address

2112 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644

Other names 1

  • Rodrigo Jose Ugalde-Magnani Former name

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
I20180122001333 PA Practitioner - Nurse Practitioner 1759640675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

426 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 544-3059

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP018067PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Jan 2, 2018 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group CurrentSince Jan 2, 2018 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

426 Cloverleaf Rd
#D
Elizabethtown, PA 17022
Phone (717) 544-3059

1261 Division Hwy
#2
Ephrata, PA 17522
Phone (717) 299-1301

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2112 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (717) 544-3059

1701 Cornwall Rd
Ste 101
Lebanon, PA 17042
Phone (717) 544-9400

950 S Octorara Trl
Parkesburg, PA 19365
Phone (610) 857-6616

Interoperability endpoints

  • Direct secure messaging: rugaldemagnani173955@direct-lghealth.org

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1619482437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 HARRISBURG PIKE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 HARRISBURG PIKE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGALDE",
        "first_name": "RODRIGO",
        "middle_name": "JOSE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-04",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RODRIGO",
            "last_name": "UGALDE-MAGNANI",
            "middle_name": "JOSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.