Individual provider Active NPI

Elizabeth Lynne Tupper, MD

  • Family Medicine Physician
  • Myerstown, PA
National Provider Identifier
1831779537
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD486446 Issued in PA
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

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

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 Hospital, Lebanon, PA, CCN 390066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Nov 11, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group Family Medicine CurrentSince Nov 11, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.