Individual provider Active NPI

Selena Neiderer

  • Advanced Practice Midwife
  • Chambersburg, PA
National Provider Identifier
1659939783
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
830 5TH Ave Ste 202
Chambersburg, PA 17201-4224
Phone
(717) 709-7990
Fax
(717) 709-7991
NPI assigned
Jun 4, 2019
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NU Primary

Addresses

Primary practice location

830 5TH Ave Ste 202
Chambersburg, PA 17201-4224

Mailing address

111 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7304
Phone (717) 709-7922

Other practice location 1

120 N 7th St Ste 200
Chambersburg, PA 17201-1795
Phone (717) 217-6882

Other practice location 2

214 Peach Orchard Rd
Mc Connellsburg, PA 17233-8559
Phone (717) 485-6125

Other practice location 3

214 Peach Orchard Rd
Mc Connellsburg, PA 17233-8559
Phone (717) 485-6125

Other practice location 4

97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 217-6882

Other practice location 5

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5086

Other practice location 6

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 765-5086

Other practice location 7

12 St Paul Dr Ste 207
Chambersburg, PA 17201-1035
Phone (717) 217-6882

Other identifiers 1

IdentifierTypeStateIssuer
103686579MedicaidPA

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191023000665 PA Practitioner - Certified Nurse Midwife (CNM) 2567794605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rural Health CenterGroup PAC ID 5496663312, 44 clinicians

Practice addresses (Care Compare)

830 5TH Ave
Chambersburg, PA 17201-4224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rural Health Center CurrentSince Jul 5, 2022 Accepting new patients
Keystone Rural Health Center CurrentSince Jul 5, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Apr 5, 2021 Accepting new patients
Keystone Rural Health Center Current Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Apr 5, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

111 Chambers Hill Dr
Ste 200
Chambersburg, PA 17201
Phone (717) 709-7900

12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026

12 St Paul Dr
Ste 207
Chambersburg, PA 17201
Phone (717) 217-6882

120 N 7th St
Ste 200
Chambersburg, PA 17201
Phone (717) 217-6800

820 5th Ave
Chambersburg, PA 17201
Phone (717) 263-4313

830 5th Ave
Ste 202
Chambersburg, PA 17201
Phone (717) 217-6830

450 S Washington St
Ste B
Gettysburg, PA 17325
Phone (717) 337-4487

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

97 Progress Blvd
Shippensburg, PA 17257
Phone (717) 217-6800

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

2050 S Queen St
#200
York, PA 17403
Phone (717) 812-2316

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

Interoperability endpoints

  • Direct secure messaging: sneiderer15096@wellspan.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1659939783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHAMBERS HILL DR STE 200",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017304",
            "telephone_number": "717-709-7922",
            "fax_number": "717-263-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 5TH AVE STE 202",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014224",
            "telephone_number": "717-709-7990",
            "fax_number": "717-709-7991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N 7th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011795",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "fax_number": "717-217-6883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Peach Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Connellsburg",
            "state": "PA",
            "postal_code": "172338559",
            "country_code": "US",
            "telephone_number": "717-485-6125",
            "fax_number": "717-485-6106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Peach Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Connellsburg",
            "state": "PA",
            "postal_code": "172338559",
            "country_code": "US",
            "telephone_number": "717-485-6125",
            "fax_number": "717-485-6106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Progress Blvd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172579053",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "fax_number": "717-217-6883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5086",
            "fax_number": "717-762-4551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-765-5086",
            "fax_number": "717-597-5522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "fax_number": "717-217-6883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEIDERER",
        "first_name": "SELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2023-11-06",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103686579",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.