Andrea Liebersohn, CRNP
Individual provider Active NPI Nurse Practitioner · Williamsport, PA
NPI 1629610480 · NPPES record last updated Aug 7, 2026
Key facts
- NPI
- 1629610480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- SP021036 (PA)
- Practice address
- 700 High St
Williamsport, PA 17701-3100 - Phone
- (570) 321-2000
- NPI assigned
- Oct 14, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Susquehanna Physician Services
Practice addresses (Care Compare)
700 High St
Williamsport, PA 17701-3100
Phone (570) 321-2000
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.06 of 100
- Quality
- 62.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
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 |
|---|---|---|---|---|
| I20191218000013 | PA | Practitioner - Nurse Practitioner | 2163856576 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP021036 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susquehanna Physician Services | Current |
Accepting new patients | |
| Susquehanna Physician Services | Nurse Practitioner | Current | Accepting new patients |
| Susquehanna Physician Services | Current |
Accepting new patients | |
| Lock Haven Emergency Physicians PLLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
24 Cree Dr
Lock Haven, PA 17745
Phone (570) 893-5000
1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723
700 High St
Williamsport, PA 17701
Phone (570) 321-1000
Interoperability endpoints
- aliebersohn152862@upmc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP021036 | PA | Yes |
Addresses
Primary practice location
700 High St
Williamsport, PA 17701-3100
Mailing address
1201 Grampian Blvd
Williamsport, PA 17701-1900
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aliebersohn152862@upmc.direct-ci.com |
Other providers in Williamsport, PA
- Samantha Jo Less
- Megan Marie Lessman
- Margaret K Levan
- Brett Eric Lewis
- Kathleen Claire Lewis
- Yung-Tai Lin
- Linn Mental Health and Wellness LLC
- Linn Orthodontics, LLC
- Collin Taylor Linn
- Courtney Ann Linn
All providers in Williamsport, PA · 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 Aug 7, 2026. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.