Individual provider Active NPI

Bonita L Deloach, FNP-C

  • Family Nurse Practitioner
  • Greencastle, PA
National Provider Identifier
1649774795
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP027632 Issued in PA
Practice address
24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone
(717) 597-5553
Fax
(717) 597-5522
NPI assigned
Mar 22, 2018
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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 R164385 MD
Family Nurse Practitioner 363LF0000X SP027632 PA Primary

Addresses

Primary practice location

24 Antrim Commons Dr
Greencastle, PA 17225-1623

Mailing address

17664 Potter Bell Way
Hagerstown, MD 21740-6396
Phone (410) 903-8000

Other practice location 1

24 N Walnut St
Hagerstown, MD 21740-4738
Phone (000) 000-0000

Other practice location 2

12 St Paul Dr Ste 101
Chambersburg, PA 17201-1035
Phone (717) 264-6511

Other practice location 3

3106 Philadelphia Ave
Chambersburg, PA 17201-8938
Phone (717) 264-3644

Other practice location 4

22 St Paul Dr
Chambersburg, PA 17201-1036
Phone (717) 264-6511

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
I20230920000161 PA Practitioner - Nurse Practitioner 7214290865 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
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 255-0157

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R164385MDMDFamily Nurse Practitioner
SP027632PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
New Beginnings Therapy, LLC PastSince Mar 1, 2020 Accepting new patients

Locations

12 St Paul Dr
Ste 101
Chambersburg, PA 17201
Phone (717) 217-6760

12 St Paul Dr
Ste 203
Chambersburg, PA 17201
Phone (717) 264-4839

22 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6020

3106 Philadelphia Ave
Chambersburg, PA 17201
Phone (717) 264-3644

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

1600 S George St
York, PA 17403
Phone (717) 848-3615

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

Interoperability endpoints

  • Direct secure messaging: bdeloach362072@wellspan.direct-ci.com

Organizations & group practices 5

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 7

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1649774795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17664 POTTER BELL WAY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406396",
            "telephone_number": "410-903-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ANTRIM COMMONS DR",
            "city": "GREENCASTLE",
            "state": "PA",
            "postal_code": "172251623",
            "telephone_number": "717-597-5553",
            "fax_number": "717-597-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 N Walnut St",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217404738",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-264-6511",
            "fax_number": "717-255-0914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3106 Philadelphia Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172018938",
            "country_code": "US",
            "telephone_number": "717-264-3644",
            "fax_number": "717-264-9077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 St Paul Dr",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011036",
            "country_code": "US",
            "telephone_number": "717-264-6511",
            "fax_number": "717-264-1081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELOACH",
        "first_name": "BONITA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R164385",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greencastle, PA

Sources for this page

Verify at the official NPI Registry.