Active NPI
Noah L Mabry, CRNP
- Primary Care Nurse Practitioner
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- SP020516
- Practice address
- 1401 Roosevelt Ave
York, PA 17404-2244 - Phone
- (717) 356-6250
- NPI assigned
- Jul 16, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | SP020516 | PA | Primary |
| Registered Nurse | 163W00000X | RN665722 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP020516 | PA |
Addresses
Primary practice location
1401 Roosevelt Ave
York, PA 17404-2244
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
1790 Old Trail Rd
Etters, PA 17319-9600
Phone (717) 938-6588
Other practice location 2
2060 Carlisle Rd
Aspers, PA 17304-9707
Phone (717) 339-2585
Other practice location 3
1135 Georgetown Rd Unit 201
Christiana, PA 17509-9543
Phone (717) 466-2462
Other practice location 4
13515 Wolfe Rd Ste C
New Freedom, PA 17349-9346
Phone (717) 812-2501
Other practice location 5
46 Walnut Bottom Rd Ste 200
Shippensburg, PA 17257-8219
Phone (717) 532-4148
Other practice location 6
935 Route 522
Selinsgrove, PA 17870-9714
Phone (570) 372-6102
Other practice location 7
964 Carpenter Rd
Milton, PA 17847-7527
Phone (570) 742-2300
Other practice location 8
100 Frederick St
Hanover, PA 17331-3518
Phone (717) 851-7050
Other practice location 9
3193 Cape Horn Rd
Red Lion, PA 17356-8810
Phone (717) 812-5888
Other practice location 10
300 W King St Ste C
Littlestown, PA 17340-1446
Phone (717) 339-2390
Other practice location 11
7095 Westbranch Hwy Ste 1100
Lewisburg, PA 17837-6864
Phone (570) 524-5050
Other practice location 12
22 St Paul Dr
Chambersburg, PA 17201-1036
Phone (717) 264-6511
Other practice location 13
2 Keefer Dr
Mercersburg, PA 17236-1732
Phone (717) 328-2119
Other practice location 14
105 4th St # 727
East Berlin, PA 17316-9638
Phone (717) 812-4900
Other practice location 15
7055 Westbranch Hwy
Lewisburg, PA 17837-6808
Phone (570) 524-4141
Other practice location 16
30 N 4th St
Lebanon, PA 17046-5606
Phone (717) 274-0474
Other practice location 17
101 Fairview Cir
Lebanon, PA 17042-9581
Phone (717) 279-7303
Other practice location 18
30 W Swartzville Rd
Reinholds, PA 17569-9641
Phone (717) 484-4347
Other practice location 19
354 Alexander Spring Rd Ste 3
Carlisle, PA 17015-7451
Phone (717) 477-2764
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 356-5198
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN665722 | PA | MD | Registered Nurse |
| SP020516 | PA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Past | Accepting new patients |
Locations
2060 Carlisle Rd
Aspers, PA 17304
Phone (717) 339-2585
354 Alexander Spring Rd
Ste 3
Carlisle, PA 17015
Phone (717) 217-6820
22 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6020
1790 Old Trail Rd
Etters, PA 17319
Phone (717) 938-6588
3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644
30 N 4th St
#2
Lebanon, PA 17046
Phone (717) 270-2374
30 N 4th St
Lebanon, PA 17046
Phone (717) 270-1949
25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290
7055 Westbranch Hwy
Lewisburg, PA 17837
Phone (570) 524-4141
3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771
3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007
7095 Westbranch Hwy
Ste 1100
Lewisburg, PA 17837
Phone (570) 524-5050
300 W King St
Ste C
Littlestown, PA 17340
Phone (717) 339-2390
2 Keefer Dr
Mercersburg, PA 17236
Phone (717) 328-2115
13515 Wolfe Rd
Ste C
New Freedom, PA 17349
Phone (717) 812-2501
101 Fairview Cir
North Cornwall, PA 17042
Phone (717) 279-7303
3193 Cape Horn Rd
Red Lion, PA 17356
Phone (717) 812-5888
30 W Swartzville Rd
Reinholds, PA 17569
Phone (717) 466-5420
935 Route 522
Selinsgrove, PA 17870
Phone (570) 372-6102
46 Walnut Bottom Rd
#200
Shippensburg, PA 17257
Phone (717) 532-4148
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
1401 Roosevelt Ave
York, PA 17404
Phone (717) 356-6250
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- nmabry445941@wellspan.direct-ci.com
Organizations & group practices 10
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.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Behavioral Health
- Surgery Physician
- Lewisburg, PA
- NPI 1205928967
-
dba Penn Medicine LGHP Behavioral Health
- Psychiatry Physician
- Lancaster, PA
- NPI 1952392383
-
dba WellSpan Urology
- Urology Physician
- Lewisburg, PA
- NPI 1083412084
-
dba Urgent Care of Evangelical
- Urgent Care Clinic/Center
- Lewisburg, PA
- NPI 1942227632
-
dba Penn Medicine HealthWorks
- Family Medicine Physician
- Lancaster, PA
- NPI 1134765456
-
- Obstetrics & Gynecology Physician
- Lancaster, PA
- NPI 1306724570
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan OB/GYN
- Obstetrics & Gynecology Physician
- York, PA
- NPI 1629139621
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1215060157
Hospital
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1669523320
Hospital
-
dba WellSpan Chambersburg Hospital
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1952452617
Hospital
-
dba WellSpan Gettysburg Hospital SPU
- Ambulatory Surgical Clinic/Center
- Gettysburg, PA
- NPI 1184882011
Hospital
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
dba York Hospital Community Health Center
- Clinic/Center
- York, PA
- NPI 1497814040
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1649822966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 ROOSEVELT AVE",
"city": "YORK",
"state": "PA",
"postal_code": "174042244",
"telephone_number": "717-356-6250"
}
],
"practiceLocations": [
{
"address_1": "1790 Old Trail Rd",
"address_purpose": "LOCATION",
"city": "Etters",
"state": "PA",
"postal_code": "173199600",
"country_code": "US",
"telephone_number": "717-938-6588",
"fax_number": "717-938-6588",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2060 Carlisle Rd",
"address_purpose": "LOCATION",
"city": "Aspers",
"state": "PA",
"postal_code": "173049707",
"country_code": "US",
"telephone_number": "717-339-2585",
"fax_number": "717-677-4781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1135 Georgetown Rd Unit 201",
"address_purpose": "LOCATION",
"city": "Christiana",
"state": "PA",
"postal_code": "175099543",
"country_code": "US",
"telephone_number": "717-466-2462",
"fax_number": "717-798-8433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13515 Wolfe Rd Ste C",
"address_purpose": "LOCATION",
"city": "New Freedom",
"state": "PA",
"postal_code": "173499346",
"country_code": "US",
"telephone_number": "717-812-2501",
"fax_number": "717-461-7178",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "46 Walnut Bottom Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Shippensburg",
"state": "PA",
"postal_code": "172578219",
"country_code": "US",
"telephone_number": "717-532-4148",
"fax_number": "717-255-0091",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "935 Route 522",
"address_purpose": "LOCATION",
"city": "Selinsgrove",
"state": "PA",
"postal_code": "178709714",
"country_code": "US",
"telephone_number": "570-372-6102",
"fax_number": "570-372-6110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "964 Carpenter Rd",
"address_purpose": "LOCATION",
"city": "Milton",
"state": "PA",
"postal_code": "178477527",
"country_code": "US",
"telephone_number": "570-742-2300",
"fax_number": "570-742-6276",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Frederick St",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173313518",
"country_code": "US",
"telephone_number": "717-851-7050",
"fax_number": "717-632-7478",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3193 Cape Horn Rd",
"address_purpose": "LOCATION",
"city": "Red Lion",
"state": "PA",
"postal_code": "173568810",
"country_code": "US",
"telephone_number": "717-812-5888",
"fax_number": "717-741-3709",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 W King St Ste C",
"address_purpose": "LOCATION",
"city": "Littlestown",
"state": "PA",
"postal_code": "173401446",
"country_code": "US",
"telephone_number": "717-339-2390",
"fax_number": "717-359-4178",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7095 Westbranch Hwy Ste 1100",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178376864",
"country_code": "US",
"telephone_number": "570-524-5050",
"fax_number": "570-524-5250",
"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",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Keefer Dr",
"address_purpose": "LOCATION",
"city": "Mercersburg",
"state": "PA",
"postal_code": "172361732",
"country_code": "US",
"telephone_number": "717-328-2119",
"fax_number": "717-328-0071",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 4th St # 727",
"address_purpose": "LOCATION",
"city": "East Berlin",
"state": "PA",
"postal_code": "173169638",
"country_code": "US",
"telephone_number": "717-812-4900",
"fax_number": "717-255-0951",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7055 Westbranch Hwy",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178376808",
"country_code": "US",
"telephone_number": "570-524-4141",
"fax_number": "570-524-5218",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 N 4th St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170465606",
"country_code": "US",
"telephone_number": "717-274-0474",
"fax_number": "717-270-2374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Fairview Cir",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170429581",
"country_code": "US",
"telephone_number": "717-279-7303",
"fax_number": "717-279-7471",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 W Swartzville Rd",
"address_purpose": "LOCATION",
"city": "Reinholds",
"state": "PA",
"postal_code": "175699641",
"country_code": "US",
"telephone_number": "717-484-4347",
"fax_number": "717-484-0968",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "354 Alexander Spring Rd Ste 3",
"address_purpose": "LOCATION",
"city": "Carlisle",
"state": "PA",
"postal_code": "170157451",
"country_code": "US",
"telephone_number": "717-477-2764",
"fax_number": "717-839-2772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MABRY",
"first_name": "NOAH",
"middle_name": "L",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-16",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PA",
"license": "SP020516",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN665722",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP020516",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.