Fawn Eutzy, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP019549 Issued in PA

Practice address

112 N 7TH St
Chambersburg, PA 17201-1720

Phone

(717) 262-4546

Fax

(717) 263-1146

NPI assigned

Feb 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Good Samaritan Physician ServicesGroup PAC ID 5496728172, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
• Wellspan Waynesboro Hospital Hospital, Waynesboro, PA, CCN 390138

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: feutzy225105@wellspan.direct-ci.com

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.

• Good Samaritan Physician Services

  • Urology Physician
  • Lebanon, PA
  • NPI 1558749846
  Medicare reassignment Care Compare group NPD
• Good Samaritan Physician Services

  • Cardiovascular Disease Physician
  • York, PA
  • NPI 1497521702
  NPD

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

• The Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1215060157

  Hospital

  Care Compare affiliation
• The Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1669523320

  Hospital

  Care Compare affiliation
• The Chambersburg Hospital

  • General Acute Care Hospital
  • Chambersburg, PA
  • NPI 1902804552
  Care Compare affiliation
• The Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1952452617

  Hospital

  Care Compare affiliation
• Waynesboro Hospital

  • Clinic/Center
  • Waynesboro, PA
  • NPI 1083780894

  Hospital

  Care Compare affiliation
• Waynesboro Hospital

  • Clinic/Center
  • Fayetteville, PA
  • NPI 1306989561

  Hospital

  Care Compare affiliation
• Waynesboro Hospital

  • General Acute Care Hospital
  • Waynesboro, PA
  • NPI 1821091059
  Care Compare affiliation

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1780149492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N 7TH ST",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011720",
            "telephone_number": "717-262-4546",
            "fax_number": "717-263-1146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-262-4546",
            "fax_number": "717-263-1146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUTZY",
        "first_name": "FAWN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103619772",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eshbaugh Chiropractic, LLC
• Daren Eugene Eshbaugh, DC
• Angelica Espinoza
• Jade Alexandra Etter, PA-C
• Eugene Teufel & Son Orthotics & Prosthetics Inc
• Laura Evans, WHNP-BC
• Ginger Everhart, DPT,CWS
• David M Everly Jr., CRNP
• Allen N Ewing, DMD
• Suzanne Irene Eyer, L.P.C

• Family Nurse Practitioner in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.

Verify at the official NPI Registry.