Individual provider Active NPI

Wade Sponsler, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lebanon, PA
National Provider Identifier
1811649114
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP024737 Issued in PA
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

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220301000112 PA Practitioner - Nurse Practitioner 6608260062 Reassigns benefits to 3 organizations

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
Connectionspa LLCGroup PAC ID 3971038373, 13 clinicians
Vital Healthcare SolutionsGroup PAC ID 3274830336, 107 clinicians
Silver Willow Wellness PCGroup PAC ID 5597271577, 118 clinicians

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

LicenseStateTypeSpecialty
SSP024737PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Willow Wellness PC CurrentSince Dec 13, 2025 Accepting new patients
Vital Healthcare Solutions CurrentSince Mar 17, 2024 Accepting new patients
Connectionspa LLC CurrentSince Jan 13, 2026 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.