Individual provider Active NPI

Noah L Mabry, CRNP

  • Primary Care Nurse Practitioner
  • York, PA
National Provider Identifier
1649822966
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP020516 Issued in PA
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

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191008002177 PA Practitioner - Nurse Practitioner 6002147949 Reassigns benefits to 3 organizations

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
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

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

LicenseStateTypeSpecialty
RN665722PAMDRegistered Nurse
SP020516PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jul 28, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince Jul 1, 2020 Accepting new patients
Lancaster General Medical Group CurrentSince Jul 1, 2020 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Evangelical Medical Services Organization CurrentSince Sep 22, 2025 Accepting new patients
Evangelical Medical Services Organization Current Accepting new patients
Evangelical Medical Services Organization CurrentSince Sep 22, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Jul 28, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 10

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": "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

Verify at the official NPI Registry.