Individual provider Active NPI

Daniela Jean Reddinger, FNP-BC

  • Family Nurse Practitioner
  • Fredericksburg, PA
National Provider Identifier
1811735590
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024029114 Issued in PA
Practice address
124 E Main St
Fredericksburg, PA 17026
Phone
(717) 865-6183
NPI assigned
Jul 17, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 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 2024029114 PA Primary

Addresses

Primary practice location

124 E Main St
Fredericksburg, PA 17026

Mailing address

124 E Main St
Fredericksburg, PA 17026
Phone (717) 865-6183

Other names 1

  • Daniela Gillespie Former name

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
I20250321001514 PA Practitioner - Nurse Practitioner 4183146996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6 W Newport Rd
Penn State Med GRP Cornerstone
Lititz, PA 17543-7774
Phone (717) 627-2108

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024029114PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Blue Mountain Regenerative Medicine PLLC CurrentSince Jul 21, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients

Locations

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

6 W Newport Rd
Lititz, PA 17543
Phone (717) 581-5255

6 W Newport Rd
Ste 2
Lititz, PA 17543
Phone (717) 627-2108

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1811735590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E MAIN ST",
            "city": "FREDERICKSBURG",
            "state": "PA",
            "postal_code": "17026",
            "telephone_number": "717-865-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E MAIN ST",
            "city": "FREDERICKSBURG",
            "state": "PA",
            "postal_code": "17026",
            "telephone_number": "717-865-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDINGER",
        "first_name": "DANIELA",
        "middle_name": "JEAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "2024029114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELA",
            "last_name": "GILLESPIE",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fredericksburg, PA

Sources for this page

Verify at the official NPI Registry.