Individual provider Active NPI

Marion Welch Bunker, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wrightsville, PA
National Provider Identifier
1871556928
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP007700 Issued in PA
Practice address
1166 Hilts Rd
Wrightsville, PA 17368-9205
Phone
(888) 852-6672
Fax
(305) 891-4228
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN536053 PA
Nurse Practitioner 363L00000X SP007700 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP007700 PA Primary

Addresses

Primary practice location

1166 Hilts Rd
Wrightsville, PA 17368-9205

Mailing address

1065 NE 125TH St Ste 300
North Miami, FL 33161-5833
Phone (888) 852-6672

Other identifiers 2

IdentifierTypeStateIssuer
001457812OtherPAHIGHMARK BLUE SHIELD
50036439OtherPABLUE CROSS

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
I20050714000139 PA Practitioner - Nurse Practitioner 0749226645 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connectionspa LLCGroup PAC ID 3971038373, 13 clinicians

Practice addresses (Care Compare)

1100 S Cameron St
Suite 2
Harrisburg, PA 17104-2547
Phone (717) 408-1353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN536053PAMDRegistered Nurse
SP007700PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Philhaven Current Accepting new patients
Geisinger Clinic CurrentSince Nov 16, 2022 Accepting new patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Pennsylvania Psychiatric Institute CurrentSince Nov 1, 2009 Accepting new patients
Philhaven CurrentSince Dec 5, 2016 Accepting new patients
Pennsylvania Psychiatric Institute CurrentSince Nov 1, 2009 Accepting new patients
Connectionspa LLC CurrentSince Dec 12, 2024 Accepting new patients
Geisinger Clinic CurrentSince Nov 16, 2022 Accepting new patients
Philhaven CurrentSince Dec 5, 2016 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

100 N Academy Ave
Danville, PA 17822

2501 N 3rd St
Harrisburg, PA 17110
Phone (717) 782-2100

307 S Front St
Fl First
Harrisburg, PA 17104

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

1100 S Cameron St
Ste 2
Harrisburg, PA 17104
Phone (717) 408-1353

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

2501 Oregon Pike
Ste 113
Lancaster, PA 17601
Phone (717) 735-1954

204 Hathaway Park
Lebanon, PA 17042
Phone (717) 274-9777

283 Butler Rd
Mount Gretna, PA 17064
Phone (800) 932-0359

283 Butler Rd
Fl 1
Mount Gretna, PA 17064

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1871556928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615833",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 HILTS RD",
            "city": "WRIGHTSVILLE",
            "state": "PA",
            "postal_code": "173689205",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH BUNKER",
        "first_name": "MARION",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN536053",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP007700",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP007700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001457812",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50036439",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wrightsville, PA

Sources for this page

Verify at the official NPI Registry.