Organization Active NPI

Peaceful Balance Health & Wellness LLC

  • Family Medicine Physician
  • Carlisle, PA
National Provider Identifier
1659845212
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PEACEFUL BALANCE HEALTH & WELLNESS LLC
Practice address
9 East High Street,
Carlisle, PA 17015-1701
Phone
(717) 440-0098
Fax
(717) 918-5784
NPI assigned
Jan 17, 2019
Last updated
Feb 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Dr. Lorraine W. Bock, CRNPNPI 1730164450
Title
Owner
Phone
(717) 440-0098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

9 East High Street,
Carlisle, PA 17015-1701

Mailing address

20 Dannah Dr
Carlisle, PA 17015-7924
Phone (717) 443-9970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230406002835 PA Part B Supplier - Clinic/Group Practice 3375918204 Receives reassigned benefits from 1 practitioner
Practice locations: Carlisle, PA

National Provider Directory

National Provider Directory

Locations

9 E High St
Carlisle, PA 17013
Phone (717) 440-0098

9 E High St
Rear
Carlisle, PA 17013
Phone (717) 440-0098

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1659845212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DANNAH DR",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157924",
            "telephone_number": "717-443-9970",
            "fax_number": "717-918-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EAST HIGH STREET,",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170151701",
            "telephone_number": "717-440-0098",
            "fax_number": "717-918-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL BALANCE HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-440-0098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.

Verify at the official NPI Registry.