Individual provider Active NPI

Heather Marie Lupole, CRNP

  • Nurse Practitioner
  • Millersburg, PA
National Provider Identifier
1770081291
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP018894 Issued in PA
Practice address
1000 Evelyn Dr
Millersburg, PA 17061-1258
Phone
(717) 232-9971
NPI assigned
Jan 30, 2018
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X RN577761 PA
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X SP018894 PA Primary

Addresses

Primary practice location

1000 Evelyn Dr
Millersburg, PA 17061-1258

Mailing address

110 S 17TH St
Harrisburg, PA 17104-1123
Phone (717) 232-9971

Other practice location 1

46 Red Hill Ct
Newport, PA 17074-8706
Phone (717) 232-9971

Other names 1

  • Heather Marie Carter Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hlupole@hamiltonhealthcenter.com

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
I20180730002403 PA Practitioner - Nurse Practitioner 6507114139 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN577761PAMDRegistered Nurse
SP018894PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC CurrentSince Jul 3, 2018 Accepting new patients
Hamilton Health Center, Inc. CurrentSince Jun 7, 2025 Accepting new patients
Family Practice Center, PC Multi-Specialty CurrentSince Jul 3, 2018 Accepting new patients
Hamilton Health Center, Inc. Multi-Specialty Current Accepting new patients
Hamilton Health Center, Inc CurrentSince Jun 7, 2025 Accepting new patients
CRHS@ Hamilton Health Center Past Accepting new patients

Locations

110 S 17th St
Harrisburg, PA 17104
Phone (717) 230-3906

517 South St
Lykens, PA 17048
Phone (717) 453-1073

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

1000 Evelyn Dr
Millersburg, PA 17061
Phone (717) 230-3700

46 Red Hill Ct
Newport, PA 17074
Phone (717) 567-3151

Organizations & group practices 6

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": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1770081291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 17TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041123",
            "telephone_number": "717-232-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EVELYN DR",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170611258",
            "telephone_number": "717-232-9971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Red Hill Ct",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "PA",
            "postal_code": "170748706",
            "country_code": "US",
            "telephone_number": "717-232-9971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUPOLE",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN577761",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hlupole@hamiltonhealthcenter.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1000 Evelyn Dr",
            "city": "Millersburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170611258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "CARTER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Millersburg, PA

Sources for this page

Verify at the official NPI Registry.