Active NPI
Elizabeth Lynne Tupper, MD
- Family Medicine Physician
- Myerstown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD486446
- Practice address
- 6 Perri Ave
Myerstown, PA 17067-3200 - Phone
- (717) 949-6581
- Fax
- (717) 949-2816
- NPI assigned
- Apr 8, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | MD486446 | PA | Primary |
Addresses
Primary practice location
6 Perri Ave
Myerstown, PA 17067-3200
Mailing address
116 S George St
York, PA 17401-1474
Phone (717) 845-8617
Other practice location 1
720 Norman Dr
Lebanon, PA 17042-7481
Phone (717) 639-3230
Other practice location 2
845 Helen Dr
Lebanon, PA 17042-7493
Phone (717) 273-8835
Other practice location 3
740 High St Ste 4001
Williamsport, PA 17701-3111
Phone (570) 321-2345
Other practice location 4
300 Willow St
Lebanon, PA 17046-4871
Phone (717) 356-2222
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241009003176 | PA | Practitioner - Family Practice | 0244632818 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
30 N 4TH St
2 Wellspan Family Medicine North Fourth STR
Lebanon, PA 17046-5606
Phone (717) 272-2940
30 N 4TH Street 1St Floor
Wellspan Physiatry
Lebanon, PA 17046-5606
Phone (717) 270-7500
4 TH and Walnut STS
2ND Floor
Lebanon, PA 17042-6123
Phone (717) 270-3751
6 Perri Ave
Myerstown, PA 17067-3200
Phone (717) 949-6581
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
- Wellspan Good Samaritan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Family Medicine | Current | Accepting new patients |
| The Good Samaritan Hospital of Lebanon, Pennsylvania | Past | Accepting new patients | |
| Wellspan Medical Group | Family Medicine | Past | Accepting new patients |
Locations
30 N 4th St
#2
Lebanon, PA 17046
Phone (717) 270-2374
30 N 4th St
Fl 2
Lebanon, PA 17046
Phone (717) 270-1949
30 N 4th St
Lebanon, PA 17046
Phone (717) 270-1949
845 Helen Dr
Lebanon, PA 17042
Phone (717) 273-8835
6 Perri Ave
Myerstown, PA 17067
Phone (717) 949-6581
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- etupper451122@wellspan.direct-ci.com
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 and National Provider Directory roles.
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
Hospital
-
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1831779537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174011474",
"telephone_number": "717-845-8617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PERRI AVE",
"city": "MYERSTOWN",
"state": "PA",
"postal_code": "170673200",
"telephone_number": "717-949-6581",
"fax_number": "717-949-2816"
}
],
"practiceLocations": [
{
"address_1": "720 Norman Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170427481",
"country_code": "US",
"telephone_number": "717-639-3230",
"fax_number": "717-274-1659",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "845 Helen Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170427493",
"country_code": "US",
"telephone_number": "717-273-8835",
"fax_number": "717-202-0100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "740 High St Ste 4001",
"address_purpose": "LOCATION",
"city": "Williamsport",
"state": "PA",
"postal_code": "177013111",
"country_code": "US",
"telephone_number": "570-321-2345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Willow St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170464871",
"country_code": "US",
"telephone_number": "717-356-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUPPER",
"first_name": "ELIZABETH",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-08",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD486446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myerstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.