Active NPI
Wade Sponsler, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Lebanon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP024737
- Practice address
- 252 S 4TH St
Lebanon, PA 17042-6111 - Phone
- (717) 270-7688
- NPI assigned
- Jan 19, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SSP024737 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP024737 | PA | Primary |
Addresses
Primary practice location
252 S 4TH St
Lebanon, PA 17042-6111
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 270-7688
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 S Cameron St
Harrisburg, PA 17104-2547
Phone (717) 408-1353
2395 Lancaster Pike
Reading, PA 19607-2375
Phone (585) 233-2817
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221
33 Beaver Dr
Suite 1
Du Bois, PA 15801-2434
Phone (570) 561-2990
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SSP024737 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Willow Wellness PC | Current | Accepting new patients | |
| Vital Healthcare Solutions | Current | Accepting new patients | |
| Connectionspa LLC | Current | Accepting new patients |
Locations
1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647
1100 S Cameron St
Ste 2
Harrisburg, PA 17104
Phone (717) 408-1353
2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222
2395 Lancaster Pike
Fl 1
Reading, PA 19607
Phone (570) 561-2990
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.
-
- Adult Mental Health Clinic/Center
- Harrisburg, PA
- NPI 1952141889
-
- Geriatric Medicine (Internal Medicine) Physician
- Reading, PA
- NPI 1659164697
-
- Psychiatry Physician
- Sinking Springs, PA
- NPI 1659736957
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Camp Hill, PA
- NPI 1659566008
Hospital
-
- General Acute Care Hospital
- Camp Hill, PA
- NPI 1881690212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1811649114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-270-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 S 4TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170426111",
"telephone_number": "717-270-7688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPONSLER",
"first_name": "WADE",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-19",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SSP024737",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP024737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.