Active NPI
Wellspan Medical Group
- Family Medicine Physician
- York, PA
National Provider Identifier
1649967092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WELLSPAN MEDICAL GROUP
- Doing business as
- WellSpan Medical Group
- Practice address
- 601 Memory LN
York, PA 17402-2231 - Phone
- (717) 851-1405
- Fax
- (717) 851-6969
- NPI assigned
- Apr 18, 2023
- Last updated
- Nov 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Elaine Sweitzer
- Title
- Director Patient Financial Services
- Phone
- (717) 851-6838
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | NU | ||
| Cardiovascular Disease Physician | 207RC0000X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | NU | ||
| Adult Health Nurse Practitioner | 363LA2200X | NU | ||
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | NU |
Addresses
Primary practice location
601 Memory LN
York, PA 17402-2231
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other names 1
- WellSpan Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040220000815 | PA | Part B Supplier - Clinic/Group Practice | 1951213115 |
Receives reassigned benefits from 3,390 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1649967092",
"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",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPAN MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-18",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "SWEITZER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "DIRECTOR PATIENT FINANCIAL SERVICES",
"authorized_official_telephone_number": "717-851-6838"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WellSpan Medical Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WellSpan Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in York, PA
- Wellspan Medical Group (Wellspan Readycare)
- Wellspan Medical Group (WellSpan Martin Foot and Ankle)
- Wellspan Medical Group (WellSpan Bariatric Surgery)
- Wellspan Medical Group (WellSpan OB/GYN)
- Wellspan Medical Group (WellSpan Internal Medicine - 5th Avenue)
- Wellspan Medical Group (Wellspan Family Medicine - Plymouth Rd)
- Wellspan Medical Group (WellSpan Radiology and Radiation Oncology)
- Wellspan Medical Group (WellSpan Digestive Health)
- Wellspan Medical Group (WellSpan Anesthesiology York)
- Wellspan Medical Group (WellSpan Urgent Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.