Active NPI
Aquila Dufort, CRNP
- Acute Care Nurse Practitioner
- Ephrata, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP035009
- Practice address
- 169 Martin Ave
Ephrata, PA 17522-1734 - Phone
- (717) 721-4740
- Fax
- (717) 738-6872
- NPI assigned
- Apr 16, 2017
- Last updated
- Mar 30, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP017217 | PA | |
| Acute Care Nurse Practitioner | 363LA2100X | SP035009 | PA | Primary |
| Family Nurse Practitioner | 363LF0000X | SP017217 | PA |
Addresses
Primary practice location
169 Martin Ave
Ephrata, PA 17522-1734
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-4876
Other practice location 2
2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (215) 335-6562
Other practice location 3
500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-8024
Other practice location 4
1648 Huntingdon Pike
Jenkintown, PA 19046-8001
Phone (267) 971-6074
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 721-4740
763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone (814) 788-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP035009 | PA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Dubois Regional Medical Center | Nurse Practitioner | Current | Accepting new patients |
| Dubois Regional Medical Center | Current | Accepting new patients | |
| HR Physician Services | Current | Accepting new patients | |
| HR Physician Services | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| Abington Memorial Hospital | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| HR Physician Services | Current | Accepting new patients |
Locations
1200 Old York Rd
Ste 2B
Abington, PA 19001
Phone (215) 481-2222
1200 York Rd
Abington, PA 19001
Phone (215) 481-2222
100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040
100 Hospital Ave
Ofc
Dubois, PA 15801
169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
100 Medical Campus Dr
Lansdale, PA 19446
Phone (215) 361-4440
252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500
1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413
763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Du Bois, PA
- NPI 1285821835
Nurse Practitioner
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba Department of Medicine Hospitalists
- Hospitalist Physician
- Abington, PA
- NPI 1770508319
-
dba HR Multispecialty Services
- Obstetrics & Gynecology Physician
- Meadowbrook, PA
- NPI 1881696698
-
dba Maternal Fetal Medicine
- Maternal & Fetal Medicine Physician
- Meadowbrook, PA
- NPI 1598767568
-
dba Redeemer Health Infusion Therapy
- Internal Medicine Physician
- Huntingdon Valley, PA
- NPI 1679450910
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
- Rheumatology Physician
- Hershey, PA
- NPI 1821063207
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Penn Highlands Elk
- Critical Access Hospital
- Saint Marys, PA
- NPI 1326434242
-
dba WellSpan Ephrata Community Hospital
- General Acute Care Hospital
- Ephrata, PA
- NPI 1083615587
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1558558064
-
dba Ephrata Hospitalist Group
- Hospitalist Physician
- Ephrata, PA
- NPI 1700023041
-
dba WellSpan Ephrata Community Hospital
- Clinic/Center
- Ephrata, PA
- NPI 1548423684
Hospital
-
dba WellSpan Good Samaritan Hospital
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
dba WellSpan Good Samaritan Hospital
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
-
dba WellSpan Good Samaritan Hospital
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
-
- General Acute Care Hospital
- Hershey, PA
- NPI 1568435477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1952835001",
"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": "169 MARTIN AVE",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175221734",
"telephone_number": "717-721-4740",
"fax_number": "717-738-6872"
}
],
"practiceLocations": [
{
"address_1": "252 S 4th St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170426111",
"country_code": "US",
"telephone_number": "717-270-4876",
"fax_number": "717-270-3875",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2601 Holme Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191522007",
"country_code": "US",
"telephone_number": "215-335-6562",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 University Dr",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332360",
"country_code": "US",
"telephone_number": "717-531-8024",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1648 Huntingdon Pike",
"address_purpose": "LOCATION",
"city": "Jenkintown",
"state": "PA",
"postal_code": "190468001",
"country_code": "US",
"telephone_number": "267-971-6074",
"fax_number": "215-248-2898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUFORT",
"first_name": "AQUILA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-16",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP017217",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP035009",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP017217",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.