NPIMap

Organization Active NPI

Upmc Carlisle

  • Ambulatory Surgical Clinic/Center
  • Carlisle, PA
National Provider Identifier
1972038826
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
UPMC CARLISLE
Practice address
361 Alexander Spring Rd
Carlisle, PA 17015-6940
Phone
(717) 960-3354
NPI assigned
Apr 28, 2017
Last updated
Jul 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
Patrice A Taleff
Title
VP, Revenue Cycle
Phone
(717) 230-3790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

361 Alexander Spring Rd
Carlisle, PA 17015-6940

Mailing address

361 Alexander Spring Rd
Carlisle, PA 17015-6940
Phone (717) 960-3354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170710000197 PA Part A Provider - Hospital 7517236490 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carlisle, PA; Shippensburg, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972038826. Details of each certification follow.

Hospital certification: CCN 390058

Legal name
UPMC CARLISLE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 8, 2023
Beds
165 (131 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 1, 2017 (6 total)
Organization structure
CorporationNon-profit
Enrollment address
361 Alexander Spring Rd
Carlisle, PA 17015-6940
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Upmc CarlisleCCN 390058 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Upmc Carlisle6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2808 Old Post Rd
Ste 102
Harrisburg, PA 17110
Phone (717) 920-4545

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Upmc Pinnacle Organization, Harrisburg, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2017 100%
Megan Riesmeyer Individual Corporate DirectorBoard Member Jul 1, 2016
Chavone Dantrell Momon-Nelson Individual Corporate DirectorEx-Officio Without Vote Jul 1, 2025
Kenneth Tuckey Individual Corporate OfficerChairman of the Board Jul 1, 2001
Julio I Sola Individual Corporate DirectorBoard Member Jan 1, 2023
Gregory Mitstifer Individual Corporate OfficerCfo Mar 1, 2024
W-2 Managing EmployeeCfo Mar 1, 2024
Omar Shute Individual Corporate DirectorBoard Member Jul 1, 2022
Christina Persson Individual Corporate OfficerAssistant Secretary Jul 1, 2025
Corporate DirectorBoard Member, Non-Voting Jul 1, 2025
David P Gibbons Individual Corporate DirectorBoard Member Sep 1, 2023
Christopher J Sneider Individual Corporate OfficerEx-Officio With Vote Jul 1, 2021
Jeffrey Gayman Individual Corporate OfficerVice Chairman Jul 1, 2012
Elizabeth Ritter Individual Corporate OfficerSecretary Sep 24, 2024
Brandon Stewart Individual Corporate DirectorBoard Member Non Voting Mar 25, 2025
Upmc Organization, Pittsburgh, PA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2017 100%
Joshua S Wedge Individual Corporate OfficerEx-Officio With Vote/Secretary Jul 1, 2025
William S. Kauffman Individual Corporate DirectorBoard Member Jul 1, 2003

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 676

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 676

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1972038826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 ALEXANDER SPRING RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170156940",
            "telephone_number": "717-960-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 ALEXANDER SPRING RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170156940",
            "telephone_number": "717-960-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC CARLISLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "TALEFF",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP, REVENUE CYCLE",
        "authorized_official_telephone_number": "717-230-3790"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.