Individual provider Active NPI

Jennifer Eldridge, M.D.

  • Obstetrics & Gynecology Physician
  • Lititz, PA
National Provider Identifier
1679849855
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD454871 Issued in PA
Practice address
1575 Highlands Dr Ste 101
Lititz, PA 17543-7507
Phone
(717) 393-1338
NPI assigned
Apr 1, 2012
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD454871 PA
Obstetrics & Gynecology Physician 207V00000X MD454871 PA Primary

Addresses

Primary practice location

1575 Highlands Dr Ste 101
Lititz, PA 17543-7507

Mailing address

1575 Highlands Dr Ste 101
Lititz, PA 17543-7507
Phone (717) 393-1338

Other practice location 1

694 Good Dr Ste 11
Lancaster, PA 17601-2433
Phone (717) 544-3737

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeldridge274576@phsdirect.pinnaclehealth.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922001825 PA Practitioner - Obstetrics/Gynecology 8123315975 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Family Medicine CurrentSince Apr 24, 2024 Accepting new patients
Lancaster General Hospital CurrentSince Sep 26, 2016 Accepting new patients
Pinnacle Health Medical Services CurrentSince Oct 1, 2024 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Apr 24, 2024 Accepting new patients
Pinnacle Health Medical Services Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Hospital Family Medicine CurrentSince Sep 26, 2016 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Upmc Lititz Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

2 Jennifer Ct
Ste B
Carlisle, PA 17015
Phone (717) 218-9830

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

694 Good Dr
Ste 11
Lancaster, PA 17601
Phone (717) 544-0040

1575 Highlands Dr
Ste 101
Lititz, PA 17543
Phone (888) 393-1338

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

Interoperability endpoints

  • Direct secure messaging: jeldridge433880@upmc.direct-ci.com

Organizations & group practices 9

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": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1679849855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HIGHLANDS DR STE 101",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437507",
            "telephone_number": "717-393-1338",
            "fax_number": "717-627-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HIGHLANDS DR STE 101",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437507",
            "telephone_number": "717-393-1338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "694 Good Dr Ste 11",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012433",
            "country_code": "US",
            "telephone_number": "717-544-3737",
            "fax_number": "717-544-3739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD454871",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD454871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeldridge274576@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1575 Highlands Dr Ste 101",
            "city": "Lititz",
            "state": "PA",
            "country_code": "US",
            "postal_code": "175437507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

Verify at the official NPI Registry.