Active NPI
Judith Ann Mueller, PAC
- Medical Physician Assistant
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA052408
- Practice address
- 2250 E Market St
York, PA 17402-2857 - Phone
- (717) 851-1600
- Fax
- (717) 812-5183
- NPI assigned
- Apr 5, 2006
- Last updated
- Nov 21, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA052408 | PA | |
| Medical Physician Assistant | 363AM0700X | MA052408 | PA | Primary |
Addresses
Primary practice location
2250 E Market St
York, PA 17402-2857
Mailing address
1803 Mount Rose Ave
Suite B3
York, PA 17403-3026
Phone (717) 851-1405
Other practice location 1
241 Rohrerstown Rd Ste 200
Lancaster, PA 17603-2230
Phone (717) 431-1770
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568228 | Other | PA | GAEWAY-WMG |
| 50084176 | Other | PA | CAPITAL BLUE CROSS-WMG WO |
| 50077774 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 2044372 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA052408 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
1600 S George St
York, PA 17403
Phone (717) 848-3615
2250 E Market St
York, PA 17402
Phone (717) 812-6670
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
25 Monument Rd
Ste 290
York, PA 17403
Phone (717) 741-8220
Organizations & group practices 2
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.
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1871555763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 MOUNT ROSE AVE",
"address_2": "SUITE B3",
"city": "YORK",
"state": "PA",
"postal_code": "174033026",
"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": "2250 E MARKET ST",
"city": "YORK",
"state": "PA",
"postal_code": "174022857",
"telephone_number": "717-851-1600",
"fax_number": "717-812-5183"
}
],
"practiceLocations": [
{
"address_1": "241 Rohrerstown Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176032230",
"country_code": "US",
"telephone_number": "717-431-1770",
"fax_number": "717-431-0470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUELLER",
"first_name": "JUDITH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA052408",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA052408",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GAEWAY-WMG",
"identifier": "1568228",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG WO",
"identifier": "50084176",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "50077774",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "2044372",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.