Individual provider Active NPI

Lori Eileen Johnson, CRNP

  • Gerontology Nurse Practitioner
  • York, PA
National Provider Identifier
1679159834
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP027041 Issued in PA
Practice address
80 Wyntre Brooke Dr
York, PA 17403-4535
Phone
(717) 849-5589
Fax
(717) 472-8278
NPI assigned
Mar 18, 2021
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP027041 PA
Gerontology Nurse Practitioner 363LG0600X SP027041 PA Primary
Primary Care Nurse Practitioner 363LP2300X SP027041 PA

Addresses

Primary practice location

80 Wyntre Brooke Dr
York, PA 17403-4535

Mailing address

80 Wyntre Brooke Dr
York, PA 17403-4535
Phone (717) 849-5589

Other practice location 1

810 Bonneview Rd
York, PA 17406-2099
Phone (717) 852-7766

Other identifiers 1

IdentifierTypeStateIssuer
1164409561MedicaidFL

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
I20230508002380 PA Practitioner - Nurse Practitioner 6002200508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

80 Wyntre Brooke Dr
Upmc Primary Care White Rose
York, PA 17403-4535
Phone (717) 849-5589

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027041PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charles E. Schlager, MD LTD CurrentSince Feb 20, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Feb 1, 2025 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Feb 1, 2025 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

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

76 Acco Dr
York, PA 17402

76 Acco Dr
Ste 103
York, PA 17402

80 Wyntre Brooke Dr
York, PA 17403
Phone (717) 741-9462

810 Bonneview Rd
York, PA 17406
Phone (717) 852-7766

810 Bonneview Rd
#H
York, PA 17406
Phone (717) 852-7766

Interoperability endpoints

  • Direct secure messaging: ljohnson513881@upmc.direct-ci.com

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 8

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": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1679159834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WYNTRE BROOKE DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034535",
            "telephone_number": "717-849-5589",
            "fax_number": "717-472-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WYNTRE BROOKE DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034535",
            "telephone_number": "717-849-5589",
            "fax_number": "717-472-8278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Bonneview Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174062099",
            "country_code": "US",
            "telephone_number": "717-852-7766",
            "fax_number": "717-852-7862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LORI",
        "middle_name": "EILEEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP027041",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP027041",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP027041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164409561",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.