Carly Ann Washabaugh, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP024143 Issued in PA

Practice address

46 Walnut Bottom Rd
Shippensburg, PA 17257-8219

Phone

(717) 477-2764

Fax

(717) 839-6951

NPI assigned

Dec 7, 2021

Last updated

May 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fulton County Medical CenterGroup PAC ID 6406841295, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fulton County Medical Center Hospital, McConnellsburg, PA, CCN 391303

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Fulton County Medical Center

  • Critical Access Hospital
  • McConnellsburg, PA
  • NPI 1326044694

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Fulton County Medical Center

  • Critical Access Hospital
  • McConnellsburg, PA
  • NPI 1386722312
  NPD
• Fulton County Medical Center

  • Skilled Nursing Facility
  • McConnellsburg, PA
  • NPI 1174518518
  NPD (past)
• Fulton County Medical Center

  dba Team Home Health

  • Home Health Agency
  • McConnellsburg, PA
  • NPI 1255302402
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fulton County Medical Center

  • Critical Access Hospital
  • McConnellsburg, PA
  • NPI 1326044694
  Care Compare affiliation

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1841958782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE STE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-709-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 WALNUT BOTTOM RD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172578219",
            "telephone_number": "717-477-2764",
            "fax_number": "717-839-6951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5088",
            "fax_number": "717-857-2515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Norland Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014229",
            "country_code": "US",
            "telephone_number": "717-267-6363",
            "fax_number": "717-839-6421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-593-0512",
            "fax_number": "717-839-6810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHABAUGH",
        "first_name": "CARLY",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP024143",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15402672",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Shippensburg, PA
• Providers in Shippensburg, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.

Verify at the official NPI Registry.