Active NPI
Wellspan Medical Group
Doing business as WellSpan Internal Medicine - Wilson Street
- Internal Medicine Physician
- Carlisle, PA
National Provider Identifier
1699412031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WELLSPAN MEDICAL GROUP
- Doing business as
- WellSpan Internal Medicine - Wilson Street
- Practice address
- 220 Wilson St Ste 109
Carlisle, PA 17013-3697 - Phone
- (717) 249-1929
- Fax
- (717) 249-9332
- NPI assigned
- May 17, 2022
- Last updated
- May 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Frank
- Title
- Credentialing Manager
- Phone
- (717) 851-6832
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
220 Wilson St Ste 109
Carlisle, PA 17013-3697
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-1405
Other names 1
- WellSpan Internal Medicine - Wilson Street
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040220000815 | PA | Part B Supplier - Clinic/Group Practice | 1951213115 |
Receives reassigned benefits from 3,390 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0185673 | Wellspan Internal Medicine - Wilson Street | Certificate of waiver | Jan 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
6 Perri Ave
Myerstown, PA 17067
Phone (717) 949-6581
Practitioners & affiliated clinicians
Practitioners 18
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.
-
- Family Nurse Practitioner
- Lebanon, PA
- NPI 1427504679
-
- Critical Care Medicine Nurse Practitioner
- Chambersburg, PA
- NPI 1346762168
-
- Certified Registered Nurse Anesthetist
- Lewisburg, PA
- NPI 1558398776
-
- Family Medicine Physician
- Abbottstown, PA
- NPI 1346566338
-
- Internal Medicine Physician
- York, PA
- NPI 1700993292
-
- Podiatrist
- York, PA
- NPI 1639631856
-
- Critical Care Medicine Nurse Practitioner
- York, PA
- NPI 1285277913
-
- Acute Care Nurse Practitioner
- Chambersburg, PA
- NPI 1083265318
-
- Anesthesiology Physician
- York, PA
- NPI 1225014087
-
- Adult Health Nurse Practitioner
- Carlisle, PA
- NPI 1043864689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652745600000",
"number": "1699412031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 WILSON ST STE 109",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133697",
"telephone_number": "717-249-1929",
"fax_number": "717-249-9332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPAN MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-17",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A",
"authorized_official_last_name": "FRANK",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "717-851-6832"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WellSpan Internal Medicine - Wilson Street",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carlisle, PA
- Ruth Busko Wegmann, M.AC., L.AC., DIPL.A
- Tish Weikel
- Weis Markets Inc (Weis Pharmacy)
- Wellspan Health Newberry LLC (Wellspan Carlisle Hospital)
- Wellspan Medical Group (WellSpan Family Medicine - Alexander Spring Rd)
- Wellspan Medical Group (WellSpan Pulmonary and Sleep Medicine)
- Adrienne Wenrick, COTA
- Brittany Ray Werner, MS, RDN
- Amy M Westcott, MA
- Scott L. Westrick, MS,CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.