Elizabeth A Petcov, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP017652 Issued in PA

Practice address

252 S 4TH St
Lebanon, PA 17042-6111

Phone

(717) 270-4876

NPI assigned

Aug 17, 2017

Last updated

Nov 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Elizabeth A Carey Former name

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ecarey107515@wellspan.direct-ci.com

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.

• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment Care Compare group NPD
• Good Samaritan Physician Services

  dba WellSpan Urology - Lebanon

  • Urology Physician
  • Lebanon, PA
  • NPI 1558749846
  Medicare reassignment NPD
• Good Samaritan Physician Services

  dba WellSpan Heart Failure Program

  • Cardiovascular Disease Physician
  • York, PA
  • NPI 1497521702
  NPD
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  dba WellSpan Virtual Primary Care

  • Family Medicine Physician
  • York, PA
  • NPI 1457044794
  NPD
• Good Samaritan Physician Services

  • Family Medicine Physician
  • Lebanon, PA
  • NPI 1326064460

  Hospitalist

  NPD (past)
• Landmark Connect of Pennslyvania PC

  • General Practice Physician
  • Harrisburg, PA
  • NPI 1437650546
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Good Samaritan Hospital of Lebanon, Pennsylvania

  dba WellSpan Good Samaritan Hospital

  • Ambulatory Surgical Clinic/Center
  • Lebanon, PA
  • NPI 1205902343

  Hospital

  Care Compare affiliation
• The Good Samaritan Hospital of Lebanon, Pennsylvania

  dba WellSpan Good Samaritan Hospital

  • General Acute Care Hospital
  • Lebanon, PA
  • NPI 1407928500
  Care Compare affiliation
• The Good Samaritan Hospital of Lebanon, Pennsylvania

  dba WellSpan Good Samaritan Hospital

  • Emergency Medicine Physician
  • Lebanon, PA
  • NPI 1730754284

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1720504152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-4051",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 S 4TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426111",
            "telephone_number": "717-270-4876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221734",
            "country_code": "US",
            "telephone_number": "717-721-4740",
            "fax_number": "717-738-6872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Park Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109303",
            "country_code": "US",
            "telephone_number": "717-686-9842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Norman Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427481",
            "country_code": "US",
            "telephone_number": "717-639-3230",
            "fax_number": "717-274-1659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETCOV",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017652",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "MC4527581",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "SP017652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CAREY",
            "middle_name": "A",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01631)
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01920)
• Ruben Perez, MD
• Wanda Garrett Perez, CRNA
• Amijo Perrine
• Nicole Renee Peter
• Levi Peters, NP
• Michelle Peterson
• Daniel Robert Petley, OD
• Anthony Salvadore Petrole, PA-C

• Nurse Practitioner in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.