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JAYME N OBERHOLTZER CRNA
NPI 1013152479
Nurse Anesthetist, Certified Registered in Ephrata, PA

Active since December 12, 2008Accepts Medicare Assignment
169 MARTIN AVE, EPHRATA, PA 17522(717) 738-6618(717) 738-6646 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2025, Aug 2, 2024, Jan 25, 2023 (3 updates tracked since 2023).

About Jayme N Oberholtzer Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAYME N OBERHOLTZER CRNA (NPI 1013152479) is an individual nurse anesthetist, certified registered in Ephrata, Pennsylvania, licensed in Pennsylvania (RN543341) and active in the NPI registry since December 2008. She is affiliated with Wellspan Good Samaritan Hospital, maintains 7 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1013152479
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJAYME N OBERHOLTZERCredential: CRNA
Location Address169 MARTIN AVEEphrata, PA 17522-1724
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 738-6618
Fax(717) 738-6646
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 12, 2008
Last NPPES UpdateMay 13, 20253 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1013152479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in PA · RN543341
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN543341 (PA)
169 MARTIN AVE, Ephrata, PA 17522
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Secondary Practice Locations 7

Location 1501 E Main StWaynesboro, PA 17268-2353 · Phone (717) 765-3425
Location 2112 N 7th StChambersburg, PA 17201-1720 · Phone (717) 267-7164
Location 335 Erick RdLancaster, PA 17601-3111 · Phone (717) 690-0811
Location 412 St Paul Dr Ste 100Chambersburg, PA 17201-1035 · Phone (717) 217-6072
Location 5835 5th AveChambersburg, PA 17201-4220 · Phone (717) 217-4312
Location 6252 S 4th StLebanon, PA 17042-6111 · Phone (717) 270-7500
Location 74150 Barrett BlvdEphrata, PA 17522-8979 · Phone (717) 859-5160

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jayme N Oberholtzer Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355405598
PECOS Enrollment IDI20090203000026

Medicare Billing Reassignments

4

Medicare enrollment records show Jayme Oberholtzer reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellspan Medical Group
0.1 mi
Pulmonary Disease
175 MARTIN AVE STE 320
Ephrata, PA 17522
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1215524913 (717) 851-4440
Lanaster General Hospital
12 mi
Anesthesiology
555 N DUKE ST
Lancaster, PA 17602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Lancaster General Hospital
  • 163 clinicians in this Medicare group
NPI 1740895630 (717) 544-6300
Rgal Anesthesia Services LLC
12 mi
Anesthesiology
2104 HARRISBURG PIKE, SUITE 300
Lancaster, PA 17601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 267 clinicians in this Medicare group
NPI 1699055251 (717) 544-3400
Hershey Anesthesia LLC
27 mi
Nurse Anesthetist, Certified Registered
905 W GOVERNOR RD, STE 100
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 27 clinicians in this Medicare group
NPI 1861429128 (171) 531-1318

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
88 services88 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
26 services26 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
20 services20 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAKESH BARAK M.D.
Radiology (Diagnostic Radiology)
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 738-6414
USMAN ZULFIQAR M.D.
Hospitalist
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 721-4740
ALYSSA MARIE DENNEY CF-SLP
Speech-Language Pathologist
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 733-0311
MICHAEL STENGEL M.D.
Emergency Medicine
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 738-6420
KAITLYN DOUGLAS CRNA
Student in an Organized Health Care Education/Training Program
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 733-0311
PAVLIK TELEGUZ CRNP
Nurse Practitioner (Family)
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 721-4740
JOHN SHAND MD
Psychiatry & Neurology (Psychiatry)
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 733-0311
ELAINE L GOLDHAMMER MD
Hospitalist
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 721-4740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jayme Oberholtzer's NPI number?

The NPI number for Jayme Oberholtzer is 1013152479. It was assigned to this individual provider in the NPPES registry on December 12, 2008.

Where is Jayme Oberholtzer located?

Jayme Oberholtzer practices at 169 Martin Ave, Ephrata, PA 17522. The listed phone number is (717) 738-6618.

What is Jayme Oberholtzer's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jayme Oberholtzer enrolled in Medicare?

Yes. Jayme Oberholtzer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jayme Oberholtzer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jayme Oberholtzer reassigns Medicare benefits to 4 organizations: Wellspan Medical Group (Ephrata, PA), Lanaster General Hospital (Lancaster, PA), Rgal Anesthesia Services LLC (Lancaster, PA) and Hershey Anesthesia LLC (Hershey, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jayme Oberholtzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jayme Oberholtzer affiliated with any hospitals?

According to CMS data, Jayme Oberholtzer is affiliated with Wellspan Good Samaritan Hospital and Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Jayme Oberholtzer was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.