Individual provider Active NPI

Lisa Ann Hostetter, CRNP

  • Family Nurse Practitioner
  • Hershey, PA
National Provider Identifier
1811559552
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019304 Issued in PA
Practice address
35 Hope Dr Ste 202-204
Hershey, PA 17033-2008
Phone
(717) 531-8550
Fax
(717) 531-0086
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP019304 PA Primary

Addresses

Primary practice location

35 Hope Dr Ste 202-204
Hershey, PA 17033-2008

Mailing address

2112 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644
Phone (717) 290-3059

Other practice location 1

2112 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644
Phone (717) 290-3059 ext. 71729

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
I20190904000074 PA Practitioner - Nurse Practitioner 9739418534 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Apr 22, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 19, 2019 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 19, 2019 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Lancaster General Medical Group Current Accepting new patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Apr 22, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients

Locations

426 Cloverleaf Rd
#D
Elizabethtown, PA 17022
Phone (717) 544-3059

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

35 Hope Dr
Ste 102104
Hershey, PA 17033
Phone (717) 531-5160

35 Hope Dr
Ste 202204
Hershey, PA 17033
Phone (717) 531-3503

35 Hope Dr
Ste 104
Hershey, PA 17033
Phone (717) 531-5160

2112 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (717) 544-3059

1430 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 327-4680

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

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1811559552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 HARRISBURG PIKE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-290-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HOPE DR STE 202-204",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332008",
            "telephone_number": "717-531-8550",
            "fax_number": "717-531-0086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 Harrisburg Pike Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012644",
            "country_code": "US",
            "telephone_number": "717-290-3059 x71729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSTETTER",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.