Individual provider Active NPI

Sedney Pabon, CRNP

  • Family Nurse Practitioner
  • Ephrata, PA
National Provider Identifier
1730598053
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP014005 Issued in PA
Practice address
175 Martin Ave Ste 320
Ephrata, PA 17522-1761
Phone
(717) 851-4440
Fax
(717) 461-7179
NPI assigned
Aug 12, 2014
Last updated
May 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP014005 PA Primary

Addresses

Primary practice location

175 Martin Ave Ste 320
Ephrata, PA 17522-1761

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-4440

Other practice location 1

1575 Bannister St
Suite 1
York, PA 17404-4946
Phone (717) 812-2000

Other practice location 2

25 Monument Rd Ste 190
York, PA 17403-5059
Phone (717) 851-6454

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
I20141010001178 PA Practitioner - Nurse Practitioner 4082834262 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Sep 22, 2014 Accepting new patients
York Hospital CurrentSince Jul 18, 2017 Accepting new patients
York Hospital Current Accepting new patients
Wellspan Medical Group CurrentSince Sep 22, 2014 Accepting new patients
York Hospital CurrentSince Jul 18, 2017 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

175 Martin Ave
Ste 320
Ephrata, PA 17522
Phone (717) 721-5800

1575 Bannister St
Ste 1
York, PA 17404
Phone (717) 812-2000

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 190
York, PA 17403
Phone (717) 741-8011

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

Interoperability endpoints

  • Direct secure messaging: spabon16072@wellspan.direct-ci.com

Organizations & group practices 7

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": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1730598053",
    "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": "717-851-4440",
            "fax_number": "717-461-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MARTIN AVE STE 320",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221761",
            "telephone_number": "717-851-4440",
            "fax_number": "717-461-7179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 Bannister St",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174044946",
            "country_code": "US",
            "telephone_number": "717-812-2000",
            "fax_number": "717-812-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035059",
            "country_code": "US",
            "telephone_number": "717-851-6454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PABON",
        "first_name": "SEDNEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.