Individual provider Active NPI

Isabela Ana Greenholt, PAC

  • Medical Physician Assistant
  • Gettysburg, PA
National Provider Identifier
1912542945
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA061271 Issued in PA
Practice address
450 S Washington St Ste C
Gettysburg, PA 17325-2500
Phone
(717) 339-3110
Fax
(717) 339-3108
NPI assigned
Nov 13, 2019
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA005085 PA
Physician Assistant 363A00000X MU5682770 PA
Physician Assistant 363A00000X MA061271 PA
Medical Physician Assistant 363AM0700X MA061271 PA Primary

Addresses

Primary practice location

450 S Washington St Ste C
Gettysburg, PA 17325-2500

Mailing address

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

Other practice location 1

101 W Airport Rd
Lititz, PA 17543-9274
Phone (717) 466-2445

Other practice location 2

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

Other practice location 3

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

Other practice location 4

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

Other practice location 5

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

Other practice location 6

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

Other practice location 7

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3131

Other practice location 8

3 Walnut St Ste 100
Lemoyne, PA 17043-1168
Phone (717) 761-4141

Other practice location 9

9 Nathan Ln
Annville, PA 17003-6500
Phone (717) 639-3350

Other practice location 10

446 N Reading Rd
Ephrata, PA 17522-9802
Phone (717) 738-5275

Other practice location 11

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

Other identifiers 1

IdentifierTypeStateIssuer
103716444MedicaidPA

Other names 1

  • Isabela Ana Ugarte Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address iugarte96448@phsdirect.pinnaclehealth.org

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
I20191231002424 PA Practitioner - Physician Assistant 0143654053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
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)

100 Eisenhower Dr
Wellspan Urgent Care
Hanover, PA 17331-5241
Phone (717) 646-4201

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 334-2121

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

450 S Washington St
Gettysburg, PA 17325-2500

450 S Washington St 3Rd FL C
Gettysburg Surgical Assoc
Gettysburg, PA 17325-2500
Phone (717) 339-3110

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MU5682770PAMDPhysician Assistant
OA005085PAMDPhysician Assistant
MA061271PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jul 6, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 28, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 28, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Jul 6, 2021 Accepting new patients
Wellspan Medical Group PastSince Apr 1, 2020 Accepting new patients

Locations

9 Nathan Ln
Annville, PA 17003
Phone (717) 639-3350

446 N Reading Rd
Ephrata, PA 17522
Phone (717) 738-4334

450 S Washington St
Ste C
Gettysburg, PA 17325
Phone (717) 334-8141

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

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

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

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

101 W Airport Rd
Lititz, PA 17543
Phone (717) 466-2445

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

3 Walnut St
Ste 100
Wormleysburg, PA 17043
Phone (717) 737-3037

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: iugarte167257@wellspan.direct-ci.com

Organizations & group practices 7

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 2

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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1912542945",
    "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": "450 S WASHINGTON ST STE C",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173252500",
            "telephone_number": "717-339-3110",
            "fax_number": "717-339-3108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175439274",
            "country_code": "US",
            "telephone_number": "717-466-2445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "17408",
            "country_code": "US",
            "telephone_number": "717-356-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 Sofia Dr",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "PA",
            "postal_code": "173615201",
            "country_code": "US",
            "telephone_number": "717-812-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4050 N George Street Ext",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "PA",
            "postal_code": "173459347",
            "country_code": "US",
            "telephone_number": "717-356-4370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Eisenhower Dr",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173315241",
            "country_code": "US",
            "telephone_number": "717-646-4201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2149 S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034845",
            "country_code": "US",
            "telephone_number": "717-356-4460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171012010",
            "country_code": "US",
            "telephone_number": "717-782-3131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Walnut St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lemoyne",
            "state": "PA",
            "postal_code": "170431168",
            "country_code": "US",
            "telephone_number": "717-761-4141",
            "fax_number": "717-761-1456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Nathan Ln",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "PA",
            "postal_code": "170036500",
            "country_code": "US",
            "telephone_number": "717-639-3350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "446 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229802",
            "country_code": "US",
            "telephone_number": "717-738-5275",
            "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",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENHOLT",
        "first_name": "ISABELA",
        "middle_name": "ANA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005085",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MU5682770",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061271",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA061271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103716444",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iugarte96448@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "3 Walnut St Ste 100",
            "city": "Lemoyne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170431168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ISABELA",
            "last_name": "UGARTE",
            "middle_name": "ANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.