Active NPI
Bethany Parmer Landgraff, CRNP, FNP-C, IBCLC
- Family Nurse Practitioner
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SPO26635
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SPO26635 | Other | PA | CRNP (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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN529339L | PA | MD | Lactation Consultant (Registered Nurse) |
| SPO26635 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | 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.
-
dba Penn Medicine LGHP Behavioral Health
- Psychiatry Physician
- Lancaster, PA
- NPI 1952392383
-
- Obstetrics & Gynecology Physician
- Lancaster, PA
- NPI 1306724570
-
dba Penn Medicine LGHP Family Medicine Strasburg
- Family Medicine Physician
- Strasburg, PA
- NPI 1316912785
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1104875103
-
dba Parkesburg Outpatient Center
- General Acute Care Hospital
- Parkesburg, PA
- NPI 1245571942
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.