Individual provider Active NPI

Wasihun Sitnatyehu Shiferaw, CRNP

  • Acute Care Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1710642624
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP021915 Issued in PA
Practice address
417 W Frederick St
Lancaster, PA 17603-2804
Phone
(717) 381-4320
NPI assigned
Nov 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP021915 PA Primary

Addresses

Primary practice location

417 W Frederick St
Lancaster, PA 17603-2804

Mailing address

237 Greenland Dr
Lancaster, PA 17602-3351
Phone (317) 361-7159

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
I20250603000681 PA Practitioner - Nurse Practitioner 4789193608

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP021915PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albright Care Services Current Accepting new patients

Locations

90 Maplewood Dr
Lewisburg, PA 17837
Phone (570) 522-3880

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1710642624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 GREENLAND DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176023351",
            "telephone_number": "317-361-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W FREDERICK ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032804",
            "telephone_number": "717-381-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFERAW",
        "first_name": "WASIHUN",
        "middle_name": "SITNATYEHU",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP021915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.