Active NPI
Nichele Oglesby, LCSW
- Military Health Care Provider
- Lebanon, PA
National Provider Identifier
1730722075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- CW028083
- Practice address
- 1700 S Lincoln Ave
Lebanon, PA 17042-7529 - Phone
- (717) 639-6860
- NPI assigned
- Oct 18, 2019
- Last updated
- Oct 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 958 | PA | |
| Military Health Care Provider | 171000000X | CW028083 | PA | Primary |
Addresses
Primary practice location
1700 S Lincoln Ave
Lebanon, PA 17042-7529
Mailing address
1268 2ND St FRNT
Harrisburg, PA 17113-1104
Phone (609) 568-4495
Other practice location 1
2501 N 3rd St
Harrisburg, PA 17110-1904
Phone (717) 782-2750 ext. 4658
Other practice location 2
40 Dilworth Road
Millersville, PA 17551
Phone (717) 871-4636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R61348168 | Other | PA | MEDICAL INSURANCE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CPRS | Health Information Exchange (HIE) | |
| CONNECT URL | Epic | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 958 | PA | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791936000000",
"number": "1730722075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1268 2ND ST FRNT",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171131104",
"telephone_number": "609-568-4495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S LINCOLN AVE",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427529",
"telephone_number": "717-639-6860"
}
],
"practiceLocations": [
{
"address_1": "2501 N 3rd St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171101904",
"country_code": "US",
"telephone_number": "717-782-2750 x4658",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "40 Dilworth Road",
"address_purpose": "LOCATION",
"city": "Millersville",
"state": "PA",
"postal_code": "17551",
"country_code": "US",
"telephone_number": "717-871-4636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGLESBY",
"first_name": "NICHELE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-18",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "PA",
"license": "958",
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "PA",
"license": "CW028083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL INSURANCE",
"identifier": "R61348168",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CPRS",
"affiliation": "N",
"endpointDescription": "A safe and encrypted software used to protect patient information only used within the system.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1700 S Lincoln Ave",
"city": "Lebanon",
"state": "PA",
"country_code": "US",
"postal_code": "170427529",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Epic",
"affiliation": "N",
"endpointDescription": "A safe and encrypted software used to protect patient information only used within the system.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2501 N 3rd St",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171101904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.