NPIMap

Organization Active NPI

Waynesboro Hospital

Doing business as WellSpan Waynesboro Hospital

  • General Acute Care Hospital
  • Waynesboro, PA
National Provider Identifier
1821091059
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
234301 Issued in PA
Legal business name
WAYNESBORO HOSPITAL
Doing business as
WellSpan Waynesboro Hospital
Practice address
501 E Main St
Waynesboro, PA 17268-2353
Phone
(717) 765-4000
Fax
(717) 765-3498
NPI assigned
May 23, 2005
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Laura Buczkowski
Title
Sr VP and Cfo
Phone
(410) 442-3373

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
General Acute Care Hospital 282N00000X 234301 PA Primary

Addresses

Primary practice location

501 E Main St
Waynesboro, PA 17268-2353

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

24 Antrim Commons Dr
OP Greencastle Health Center Outpatient
Greencastle, PA 17225-1623
Phone (717) 765-3403

Other practice location 2

500 East Main Street
OP WellSpan Rehabilitation
Waynesboro, PA 17268-1100
Phone (717) 765-3456

Other identifiers 15

IdentifierTypeStateIssuer
0413202MedicaidMT
235019OtherMDOPTIMUM CHOICE
3900138MedicaidNC
02567664MedicaidNY
25331OtherPASENIOR PARTNERS
000000111264MedicaidPA
010040744MedicaidVA
0171193000MedicaidWV
1007424870006MedicaidPA
1489OtherPAHIGHMARK BLUE SHIELD
072768701MedicaidTX
10368BMedicaidSC
6491440OtherPAAETNA
792988OtherMDMAPSI
809534OtherMDPRIORITY PARTNERS JOHN HO

Other names 1

  • WellSpan Waynesboro Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040414001288 PA Part B Supplier - Clinic/Group Practice 6305830936 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Waynesboro, PA
O20040414001527 PA Part B Supplier - Clinic/Group Practice 6305830936 Receives reassigned benefits from 27 practitioners
1 other NPI on this enrollment
Practice locations: Waynesboro, PA
O20071203000478 PA Part A Provider - Hospital 6305830936 2 other NPIs on this enrollment
Practice locations: Fayetteville, PA; Greencastle, PA; Waynesboro, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821091059. Details of each certification follow.

Hospital certification: CCN 390138

Legal name
WAYNESBORO HOSPITAL
Doing business as
WELLSPAN WAYNESBORO HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 12, 2017
Beds
57 (47 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 28, 1920 in PA
Enrollment address
501 E Main St
Waynesboro, PA 17268-2353
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Wellspan Waynesboro HospitalCCN 390138 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Laura Buczkowski Individual Corporate OfficerSr VP and Cfo Nov 30, 2020
W-2 Managing EmployeeSr VP and Cfo Nov 30, 2020
Roxanna L Gapstur Individual Other Jan 2, 2019
Edward J Mackle Individual Corporate DirectorBoard Member Jan 1, 2021
Horace F Martin Individual Corporate DirectorBoard Member Jan 1, 2021
David a Doud Individual Corporate DirectorBoard Member Jan 1, 2021
Edward T Schuurman Individual Corporate OfficerDirector Jan 1, 2023
Corporate DirectorDirector Jan 1, 2023
Lissa Hinckle Individual Corporate DirectorEx Officio (Voting) Jan 1, 2025
Julianne Craig Individual Corporate DirectorBoard Member Jan 1, 2022
Michael B Seim Individual Corporate DirectorBoard Member Ex-Officio Jan 1, 2021
David Lovett Individual Corporate DirectorBoard Member Jan 1, 2022
Patricia Green-Rodgers Individual Corporate DirectorBoard Member Jan 1, 2022
Cheryl Plummer Individual Corporate OfficerChair Jan 1, 2021
Corporate DirectorChair Jan 1, 2021
Monica Mata Campos Individual Corporate DirectorBoard Member Jan 1, 2024
Roy Happel Individual Corporate OfficerDirector Jan 1, 2023
Corporate DirectorDirector Jan 1, 2023
Wellspan Health Organization, York, PA Corporation, Non-profit Operational/Managerial Control Nov 1, 2018
Other Nov 1, 2018
Stephen J Holoviak Individual Corporate DirectorBoard Member Jul 29, 2019
Wellspan Summit Health Organization, Chambersburg, PA Corporation, Non-profit Operational/Managerial Control Feb 9, 1995
Other Feb 9, 1995
Denis Onieal Individual Corporate OfficerVice Chair Jan 1, 2021
Corporate DirectorVice Chair Jan 1, 2021
Melissa Dubrow Individual Corporate OfficerPresident of Waynesboro Hospital Sep 1, 2020
W-2 Managing Employee Jan 1, 2020

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 20

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 52

Affiliated clinicians 628

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 628

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1821091059",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E MAIN ST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682353",
            "telephone_number": "717-765-4000",
            "fax_number": "717-765-3498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Antrim Commons Dr",
            "address_2": "OP Greencastle Health Center Outpatient",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-765-3403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 East Main Street",
            "address_2": "OP WellSpan Rehabilitation",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172681100",
            "country_code": "US",
            "telephone_number": "717-765-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAYNESBORO HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "BUCZKOWSKI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SR VP AND CFO",
        "authorized_official_telephone_number": "410-442-3373"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "234301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0413202",
            "state": "MT"
        },
        {
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            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "235019",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3900138",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02567664",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIOR PARTNERS",
            "identifier": "25331",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000111264",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010040744",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0171193000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007424870006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1489",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072768701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10368B",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6491440",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAPSI",
            "identifier": "792988",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY PARTNERS JOHN HO",
            "identifier": "809534",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WellSpan Waynesboro Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesboro, PA

Sources for this page

Verify at the official NPI Registry.