NPIMap

Individual provider Active NPI

Carly M Meyer, CRNP

  • Nurse Practitioner
  • Lititz, PA
National Provider Identifier
1649576000
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP011182 Issued in PA
Practice address
562 W 2ND Ave
Lititz, PA 17543-1816
Phone
(717) 626-2167
Fax
(717) 626-1915
NPI assigned
Feb 2, 2011
Last updated
Feb 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP011182 PA Primary

Addresses

Primary practice location

562 W 2ND Ave
Lititz, PA 17543-1816

Mailing address

562 W 2ND Ave
Lititz, PA 17543-1816
Phone (717) 626-2167

Other names 1

  • Carly M Earnest Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110421000160 PA Practitioner - Nurse Practitioner 3072798800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

1001 E Oregon Rd
Penn Med Lanc Gen H. Physicians Geriatrics
Lititz, PA 17543-9205
Phone (717) 509-5440

2100 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-3113

2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-3113

2108 Harrisburg Pike
Suite 315
Lancaster, PA 17601-2644
Phone (717) 544-3555

2112 Harrisburg Pike
Lancaster, PA 17601-2644

317 Chestnut St
Quarryville, PA 17566-1184
Phone (717) 544-3555

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Nov 9, 2014 Accepting new patients
Lancaster General Medical Group CurrentSince Feb 15, 2011 Accepting new patients
Lancaster General Medical Group CurrentSince Feb 15, 2011 Accepting new patients
Lancaster General Hospital CurrentSince Nov 9, 2014 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

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

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

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

51 Peters Rd
Lititz, PA 17543
Phone (717) 627-2400

51 Peters Rd
Ste 201
Lititz, PA 17543
Phone (717) 544-6260

562 W 2nd Ave
Lititz, PA 17543
Phone (717) 626-2167

1159 River Rd
#F
Marietta, PA 17547
Phone (717) 426-1131

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

Interoperability endpoints

  • Direct secure messaging: cmeyercrnp20050@direct-lghealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1649576000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 W 2ND AVE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175431816",
            "telephone_number": "717-626-2167",
            "fax_number": "717-626-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 W 2ND AVE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175431816",
            "telephone_number": "717-626-2167",
            "fax_number": "717-626-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "CARLY",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP011182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "EARNEST",
            "middle_name": "M",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lititz, PA

Sources for this page

Verify at the official NPI Registry.