Individual provider Active NPI

Rebecca Anne Dithridge, FNP

  • Family Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1881740041
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009550 Issued in PA
Practice address
690 Good Dr
Lancaster, PA 17601-2433
Phone
(717) 544-0700
Fax
(717) 544-0709
NPI assigned
Jan 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP009550 PA Primary

Addresses

Primary practice location

690 Good Dr
Lancaster, PA 17601-2433

Mailing address

690 Good Dr
Lancaster, PA 17601-2433
Phone (717) 544-0700

Other names 1

  • Rebecca Ann Gatesman Former name

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
I20081117000806 PA Practitioner - Nurse Practitioner 8820158173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

690 Good Dr
FL 2
Lancaster, PA 17601-2433
Phone (717) 544-0700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP009550PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jul 19, 2020 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Wellspan Medical Group Current Accepting new patients
Lancaster General Medical Group CurrentSince Jan 25, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Jul 19, 2020 Accepting new patients
Lancaster General Medical Group CurrentSince Jan 25, 2021 Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Spirit Physician Services Inc. Past Accepting new patients

Locations

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

690 Good Dr
Lancaster, PA 17601
Phone (717) 544-0700

690 Good Dr
Fl 2
Lancaster, PA 17601
Phone (717) 544-0700

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

694 Good Dr
#112
Lancaster, PA 17601
Phone 71739781771890

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

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

1693 S Queen St
York, PA 17403
Phone (717) 356-5330

Interoperability endpoints

  • Direct secure messaging: rtice208712@direct-lghealth.org

Organizations & group practices 8

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": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1881740041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 GOOD DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012433",
            "telephone_number": "717-544-0700",
            "fax_number": "717-845-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 GOOD DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012433",
            "telephone_number": "717-544-0700",
            "fax_number": "717-544-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITHRIDGE",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-28",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "GATESMAN",
            "middle_name": "ANN",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.