Wellspan Medical Group

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

WELLSPAN MEDICAL GROUP

Practice address

46 Walnut Bottom Rd Ste 100
Shippensburg, PA 17257-8219

Phone

(717) 477-2764

Fax

(717) 839-6951

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Sweitzer

Title

Director

Phone

(717) 851-6838

Specialties & licenses 2

Addresses

Other names 1

• WellSpan Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary S Ayers, DO

  • Surgery Physician
  • Lewisburg, PA
  • NPI 1891962031
  NPD
• Danielle Elizabeth Barclay, PA-C

  • Physician Assistant
  • Selinsgrove, PA
  • NPI 1366955015
  NPD
• Kristy Bayer

  • Gerontology Nurse Practitioner
  • York, PA
  • NPI 1861129389
  NPD
• Kayla Renee Burcker, CRNP

  • Family Nurse Practitioner
  • Chambersburg, PA
  • NPI 1750511150
  NPD
• Andrew P. Chodos, MD

  • Cardiovascular Disease Physician
  • Lebanon, PA
  • NPI 1528045630
  NPD
• Andrew Angelo Churey, RN, SRNA

  • Certified Registered Nurse Anesthetist
  • Erie, PA
  • NPI 1841861549
  NPD
• Melissa Dean, CRNA

  • Certified Registered Nurse Anesthetist
  • Lebanon, PA
  • NPI 1902396278
  NPD
• Stacie Lynne Ebersold, MSN, NP-C

  • Family Nurse Practitioner
  • Philadelphia, PA
  • NPI 1750943155
  NPD
• Stacey Hartman, LCSW-C

  • Clinical Social Worker
  • Gettysburg, PA
  • NPI 1578989455
  NPD
• Stephen Matthew Lago, DO

  • Internal Medicine Physician
  • Lebanon, PA
  • NPI 1427010701
  NPD
• William Thomson Lennox III, DO

  • Anesthesiology Physician
  • York, PA
  • NPI 1144427436
  NPD
• Katherine Martin

  • Family Nurse Practitioner
  • Greencastle, PA
  • NPI 1205698644
  NPD

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1922704451",
    "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": "46 WALNUT BOTTOM RD STE 100",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172578219",
            "telephone_number": "717-477-2764",
            "fax_number": "717-839-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "SWEITZER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-851-6838"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpan Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellSpan Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baxter Drew Wellmon II, DO
• Wellspan Medical Group
• Wellspan Medical Group
• Wellspan Medical Group
• Wellspan Medical Group
• Susan West, N.P.
• Miranda Williams
• Sarah L Wilmot, PT
• Douglas Alan Wilson
• Spencer Wolverton, DPM

• All providers in Shippensburg, PA
• Urgent Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.