Individual provider Active NPI

Grace Wheeler

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1659069417
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA064869 Issued in PA
Practice address
955 E King St
Lancaster, PA 17602-3223
Phone
(717) 394-8908
Fax
(717) 207-0400
NPI assigned
Apr 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA064869 PA Primary

Addresses

Primary practice location

955 E King St
Lancaster, PA 17602-3223

Mailing address

955 E King St
Lancaster, PA 17602-3223
Phone (717) 394-8908

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
I20230918002908 PA Practitioner - Physician Assistant 9537523964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 299-4644

538 N Queen St
Lancaster, PA 17603-3027

538 N Queen St
Suite 100 Penn Medicine LGHP Virtual Family
Lancaster, PA 17603-3046
Phone (717) 627-7696

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Oct 30, 2023 Accepting new patients
Lancaster General Medical Group CurrentSince Oct 30, 2023 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

1097 Commercial Ave
East Petersburg, PA 17520
Phone (717) 544-1952

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

955 E King St
Lancaster, PA 17602
Phone (717) 394-8908

538 N Queen St
Ste 100
Lancaster, PA 17603
Phone (717) 394-8908

1001 Cornerstone Dr
#B
Mount Joy, PA 17552
Phone (717) 653-2929

505 Historic Dr
Strasburg, PA 17579
Phone (717) 588-1576

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 3

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": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1659069417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 E KING ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176023223",
            "telephone_number": "717-394-8908",
            "fax_number": "717-207-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 E KING ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176023223",
            "telephone_number": "717-394-8908",
            "fax_number": "717-207-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.