Active NPI
Imelda Perez, CRNP
- Family Nurse Practitioner
- Manchester, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP026656
- 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, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Past | 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
- 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.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan Parkway Neurosurgery
- Neurological Surgery Physician
- Hagerstown, MD
- NPI 1881279966
-
dba WellSpan Urgent Care
- Urgent Care Clinic/Center
- Hanover, PA
- NPI 1396211686
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
dba York Hospital Community Health Center
- Clinic/Center
- York, PA
- NPI 1497814040
Hospital
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
- Ebelechukwu Kene Osifo, MD
- Roger Louie Palisoc, DO
- Jennifer L Peacey, PHARMD
- Pennsylvania CVS Pharmacy LLC (CVS Pharmacy # 02575)
- George Allen Perez, DO
- Jeffrey N Perry, D.O.
- Kagiso Phaladi, RPH
- Pinnacle Health Regional Physicians (Memorial Family Medicine at Manchester)
- Lauren W Pratt, MA, LPC
- Holly Janelle Pretz, LDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.