Individual provider Active NPI

Jesse Paul Laughner, PAC

  • Medical Physician Assistant
  • Lebanon, PA
National Provider Identifier
1841843174
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA060358 Issued in PA
Practice address
550 Isabel Dr Ste 2
Lebanon, PA 17042-7224
Phone
(717) 675-1953
Fax
(717) 675-1958
NPI assigned
Jul 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA060358 PA Primary

Addresses

Primary practice location

550 Isabel Dr Ste 2
Lebanon, PA 17042-7224

Mailing address

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

Other practice location 1

175 Martin Ave
Ephrata, PA 17522-1761
Phone (717) 738-5632

Other practice location 2

446 N Reading Rd
Ephrata, PA 17522-9802
Phone (717) 738-4334

Other practice location 3

435 S Kinzer Ave Ste 10
New Holland, PA 17557-8706
Phone (717) 351-2454

Other practice location 4

35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 675-1953

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
I20190820001134 PA Practitioner - Physician Assistant 1355679085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
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)

169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 733-0311

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

4 TH and Walnut STS
2ND Floor
Lebanon, PA 17042-6123
Phone (717) 270-3751

550 Isabel Dr
Suite 2
Lebanon, PA 17042-7224
Phone (717) 675-1953

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA060358PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Sep 3, 2019 Accepting new patients
Wellspan Medical Group CurrentSince Sep 3, 2019 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

175 Martin Ave
Ste 350
Ephrata, PA 17522
Phone (717) 733-2055

35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785

550 Isabel Dr
Ste 2
Lebanon, PA 17042
Phone (717) 675-1953

735 Norman Dr
Ste 8
Lebanon, PA 17042

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

1600 S George St
York, PA 17403
Phone (717) 848-3615

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: jlaughner189379@wellspan.direct-ci.com

Organizations & group practices 4

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 11

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1841843174",
    "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",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ISABEL DR STE 2",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427224",
            "telephone_number": "717-675-1953",
            "fax_number": "717-675-1958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221761",
            "country_code": "US",
            "telephone_number": "717-738-5632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "446 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229802",
            "country_code": "US",
            "telephone_number": "717-738-4334",
            "fax_number": "717-738-3289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 S Kinzer Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "New Holland",
            "state": "PA",
            "postal_code": "175578706",
            "country_code": "US",
            "telephone_number": "717-351-2454",
            "fax_number": "717-738-3289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Erick Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013111",
            "country_code": "US",
            "telephone_number": "717-675-1953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUGHNER",
        "first_name": "JESSE",
        "middle_name": "PAUL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.