Organization Active NPI

Nephrology Associates of Lancaster LTD

Doing business as Hypertension and Kidney Specialists

  • Nephrology Physician
  • Lancaster, PA
National Provider Identifier
1689604704
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES OF LANCASTER LTD
Doing business as
Hypertension and Kidney Specialists
Practice address
2110 Harrisburg Pike
Suite 310
Lancaster, PA 17604
Phone
(717) 544-3232
Fax
(717) 544-3233
NPI assigned
Jul 4, 2006
Last updated
May 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Ms. Tracee L Stock-Hagerstrom, CPC, CPPM
Title
Practice Admin
Phone
(717) 544-3234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

2110 Harrisburg Pike
Suite 310
Lancaster, PA 17604

Mailing address

2110 Harrisburg Pike
Suite 310
Lancaster, PA 17604
Phone (717) 544-3232

Other names 1

  • Hypertension and Kidney Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407000434 PA Part B Supplier - Clinic/Group Practice 4789677501 Receives reassigned benefits from 21 practitioners
Practice locations: Lancaster, PA; Stevens, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0684606Nephrology Assoc of Lancaster2110 Harrisburg Pike Suite 310, Lancaster, PA 17604Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2110 Harrisburg Pike
#S312
Lancaster, PA 17601
Phone (717) 290-3232

73 W Church St
Stevens, PA 17578
Phone (717) 335-0327

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1689604704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 HARRISBURG PIKE",
            "address_2": "SUITE 310",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17604",
            "telephone_number": "717-544-3232",
            "fax_number": "717-544-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 HARRISBURG PIKE",
            "address_2": "SUITE 310",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17604",
            "telephone_number": "717-544-3232",
            "fax_number": "717-544-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF LANCASTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "STOCK-HAGERSTROM",
        "authorized_official_first_name": "TRACEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "717-544-3234",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC, CPPM"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hypertension and Kidney Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.