Individual provider Active NPI

Julia Eileen Dyreyes, CRNP

  • Family Nurse Practitioner
  • Annville, PA
National Provider Identifier
1649939240
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SPO23917 Issued in PA
Practice address
1251 E Main St Ste 1And2
Annville, PA 17003-1643
Phone
(717) 867-4671
NPI assigned
Dec 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SPO23917 PA Primary

Addresses

Primary practice location

1251 E Main St Ste 1And2
Annville, PA 17003-1643

Mailing address

718 Maple St
Annville, PA 17003-1524
Phone (609) 744-7832

Other practice location 1

954 Isabel Dr
Lebanon, PA 17042-7482
Phone (717) 376-1180

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdyreyes219422@phsdirect.pinnaclehealth.org Direct

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
I20220719000715 PA Practitioner - Nurse Practitioner 5698156933 Reassigns benefits to 2 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)

954 Isabel Dr
Lebanon, PA 17042-7482
Phone (717) 273-6937

Hospital & facility affiliations

  • Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SPO23917PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Nov 27, 2023 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 12, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 12, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Nov 27, 2023 Accepting new patients

Locations

1251 E Main St
Annville, PA 17003
Phone (717) 867-4671

1251 E Main St
Ste 1AND2
Annville, PA 17003
Phone (717) 867-4671

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

954 Isabel Dr
Lebanon, PA 17042
Phone (717) 376-1180

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

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

Interoperability endpoints

  • Direct secure messaging: jdyreyes407309@wellspan.direct-ci.com

Organizations & group practices 6

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 11

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": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1649939240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 MAPLE ST",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031524",
            "telephone_number": "609-744-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E MAIN ST STE 1AND2",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031643",
            "telephone_number": "717-867-4671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "954 Isabel Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427482",
            "country_code": "US",
            "telephone_number": "717-376-1180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYREYES",
        "first_name": "JULIA",
        "middle_name": "EILEEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SPO23917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdyreyes219422@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1251 E Main St Ste 1And2",
            "city": "Annville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170031643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Annville, PA

Sources for this page

Verify at the official NPI Registry.