Individual provider Active NPI

Imelda Perez, CRNP

  • Family Nurse Practitioner
  • Manchester, PA
National Provider Identifier
1902517816
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP026656 Issued in PA
Practice address
4050 N George Street Ext
Manchester, PA 17345-9347
Phone
(717) 356-4370
Fax
(717) 260-3316
NPI assigned
Dec 12, 2022
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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 SP026656 PA Primary

Addresses

Primary practice location

4050 N George Street Ext
Manchester, PA 17345-9347

Mailing address

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

Other practice location 1

2149 S Queen St
York, PA 17403-4845
Phone (717) 356-4460

Other practice location 2

455 S Washington St Ste 12
Gettysburg, PA 17325-2516
Phone (717) 339-2875

Other practice location 3

100 Eisenhower Dr Ste 360
Hanover, PA 17331-5241
Phone (717) 646-4201

Other practice location 4

717 Town Center Dr
York, PA 17408-4824
Phone (717) 356-4240

Other practice location 5

96 Sofia Dr Ste 208
Shrewsbury, PA 17361-5201
Phone (717) 812-2400

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
I20230116000113 PA Practitioner - Nurse Practitioner 3971974742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
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)

4050 N George St Ext
Manchester, PA 17345-9347
Phone (717) 356-4370

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 30, 2023 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Jan 30, 2023 Accepting new patients
Wellspan Medical Group PastSince Oct 5, 2025 Accepting new patients

Locations

455 S Washington St
Ste 12
Gettysburg, PA 17325
Phone (717) 334-1800

100 Eisenhower Dr
Ste 360
Hanover, PA 17331
Phone (717) 646-4201

4050 N George Street Ext
Manchester, PA 17345
Phone (717) 356-4370

96 Sofia Dr
Ste 208
Shrewsbury, PA 17361
Phone (717) 812-2400

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

2149 S Queen St
York, PA 17403
Phone (717) 356-4460

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

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

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

717 Town Center Dr
York, PA 17408
Phone (717) 356-4240

Interoperability endpoints

  • Direct secure messaging: iperez169161@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1902517816",
    "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": "4050 N GEORGE STREET EXT",
            "city": "MANCHESTER",
            "state": "PA",
            "postal_code": "173459347",
            "telephone_number": "717-356-4370",
            "fax_number": "717-260-3316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2149 S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034845",
            "country_code": "US",
            "telephone_number": "717-356-4460",
            "fax_number": "717-260-3326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 S Washington St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252516",
            "country_code": "US",
            "telephone_number": "717-339-2875",
            "fax_number": "717-334-3921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Eisenhower Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173315241",
            "country_code": "US",
            "telephone_number": "717-646-4201",
            "fax_number": "717-646-4202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174084824",
            "country_code": "US",
            "telephone_number": "717-356-4240",
            "fax_number": "717-356-4241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 Sofia Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "PA",
            "postal_code": "173615201",
            "country_code": "US",
            "telephone_number": "717-812-2400",
            "fax_number": "717-812-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "IMELDA",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, PA

Sources for this page

Verify at the official NPI Registry.