NPIMap

Individual provider Active NPI

Jennifer Wellisley, APRN

  • Nurse Practitioner
  • Danville, PA
National Provider Identifier
1760857445
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP015943 Issued in PA
Practice address
100 N Academy Ave
Danville, PA 17822-9800
Phone
(570) 271-6439
Fax
(570) 271-6852
NPI assigned
Dec 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP015943 PA Primary

Addresses

Primary practice location

100 N Academy Ave
Danville, PA 17822-9800

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC, FL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160419000984 PA Practitioner - Nurse Practitioner 8921306317 Reassigns benefits to 2 organizations
I20200421002911 NC Practitioner - Nurse Practitioner 8921306317 Reassigns benefits to 1 organization
I20221031000854 FL Practitioner - Nurse Practitioner 8921306317

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6541

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Jul 9, 2017 Accepting new patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Central Dermatology Center, PA CurrentSince Apr 8, 2024 Accepting new patients
Ocean Wounds PA PLLC Family CurrentSince Nov 1, 2025 Accepting new patients
Geisinger Clinic CurrentSince Jul 9, 2017 Accepting new patients
Bethany Medical Center Nurse Practitioner Past Accepting new patients
MVP Medical Practice PC PastSince Mar 1, 2025 Accepting new patients
Bethany Medical Center Past Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

2238 Nelson Hwy
Ste 100
Chapel Hill, NC 27517
Phone (919) 282-5534

1301 Castlepointe Dr
Fuquay Varina, NC 27526
Phone (984) 849-4328

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

100 N Academy Ave
Danville, PA 17822

1130 W Chester Pike
West Chester, PA 19382
Phone (215) 815-7500

Interoperability endpoints

  • Direct secure messaging: jwellisley@onspotdermatology.emadirect.md

Organizations & group practices 9

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.

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1760857445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6439",
            "fax_number": "570-271-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "570-271-6439",
            "fax_number": "570-271-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLISLEY",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP015943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.