Individual provider Active NPI

Bethany Parmer Landgraff, CRNP, FNP-C, IBCLC

  • Family Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1770856759
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SPO26635 Issued in PA
Practice address
555 N Duke St
Lancaster, PA 17602-2250
Phone
(717) 544-5511
NPI assigned
Feb 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X RN529339L PA
Family Nurse Practitioner 363LF0000X SPO26635 PA Primary

Addresses

Primary practice location

555 N Duke St
Lancaster, PA 17602-2250

Mailing address

3016 Miller Rd
Washington Boro, PA 17582-9717
Phone (717) 471-2019

Other practice location 1

3016 Miller Rd
Washington Boro, PA 17582-9717
Phone (717) 471-2019

Other identifiers 1

IdentifierTypeStateIssuer
SPO26635OtherPACRNP (FNP-C) LICENSE

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
I20230216001870 PA Practitioner - Nurse Practitioner 4789056961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

1605 Lititz Pike
Lancaster, PA 17601-6507
Phone (717) 735-3995

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN529339LPAMDLactation Consultant (Registered Nurse)
SPO26635PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Aug 12, 2023 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group CurrentSince Aug 12, 2023 Accepting new patients

Locations

434 Springville Rd
Ste 100
Ephrata, PA 17522
Phone (717) 456-0620

100 N Queen St
Ste 200
Lancaster, PA 17603
Phone (717) 544-3555

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1605 Lititz Pike
Lancaster, PA 17601
Phone (717) 290-7201

1655 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-2678

201 Rock Lititz Blvd
Ste 14
Lititz, PA 17543
Phone (717) 544-3555

546 N Penryn Rd
Manheim, PA 17545
Phone (717) 544-8075

1159 River Rd
#F
Marietta, PA 17547
Phone (717) 426-1131

1475 Strickler Rd
Ste 100
Mount Joy, PA 17552
Phone (610) 507-0556

Organizations & group practices 3

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1770856759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 MILLER RD",
            "city": "WASHINGTON BORO",
            "state": "PA",
            "postal_code": "175829717",
            "telephone_number": "717-471-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3016 Miller Rd",
            "address_purpose": "LOCATION",
            "city": "Washington Boro",
            "state": "PA",
            "postal_code": "175829717",
            "country_code": "US",
            "telephone_number": "717-471-2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDGRAFF",
        "first_name": "BETHANY",
        "middle_name": "PARMER",
        "credential": "CRNP, FNP-C, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "PA",
            "license": "RN529339L",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SPO26635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP (FNP-C) LICENSE",
            "identifier": "SPO26635",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.