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SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1023065885
Family Medicine in Montoursville, PA

Active since May 27, 2006
900 PLAZA DR, MONTOURSVILLE, PA 17754(570) 368-8621 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Susquehanna Health Medical Group NPPES

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

SUSQUEHANNA HEALTH MEDICAL GROUP (NPI 1023065885) is a healthcare organization registered as a family medicine in Montoursville, Pennsylvania and active in the NPI registry since May 2006. The organization lists Melissa Davis, Vp/coo, as its authorized official.

NPPES Registry Identity

NPI1023065885
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES
Location Address900 PLAZA DRMontoursville, PA 17754-2448
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900
Phone(570) 368-8621
Organization SubpartNo
Authorized OfficialMelissa DavisVp/coo · (570) 320-7696
Enumeration DateMay 27, 2006
Last NPPES UpdateOctober 20, 2015
✔ NPI 1023065885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
900 PLAZA DR, Montoursville, PA 17754
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Other Names 1

Doing Business AsSusquehanna Health Medical Group

Other Identifiers 3

Other887917PA · Highmark Blue Shield
Medicaid0017300760178PA
Medicare PINCC0890PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susquehanna Health Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to Susquehanna Health Medical Group, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Family Practice16
Nurse Practitioner7
Internal Medicine2
Pediatric Medicine1

Nearest to this location (20)

See all 26
Ingrid Donato, MD
Internal Medicine
NPI 1497745616
900 PLAZA DR
Montoursville, PA 17754
(570) 368-3321
✔ PECOSSame address
Jenna Farquhar, MD
Family Practice
NPI 1699406918
900 PLAZA DR
Montoursville, PA 17754
(570) 368-3321
✔ PECOS✔ Accepts MedicareSame address
Keisha Heivly, CRNP
Nurse Practitioner
NPI 1689556920
900 PLAZA DR
Montoursville, PA 17754
(570) 368-3321
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Klucka
Family Practice
NPI 1366705808
900 PLAZA DR
Montoursville, PA 17754
(570) 601-8574
✔ PECOS✔ Accepts MedicareSame address
Di Tran, DO
Family Practice
NPI 1710620588
900 PLAZA DR
Montoursville, PA 17754
(570) 368-3321
✔ PECOS✔ Accepts MedicareSame address
Brittney Welshans, CRNP
Nurse Practitioner
NPI 1679226120
900 PLAZA DR
Montoursville, PA 17754
(570) 368-3321
✔ PECOS✔ Accepts MedicareSame address
Amber Wheeler, CRNP
Nurse Practitioner
NPI 1053020933
900 PLAZA DR
Montoursville, PA 17754
(570) 368-3321
✔ PECOSSame address
Matthew Meeker, DO
Family Practice
NPI 1518288935
1205 GRAMPIAN BLVD SUITE 1A
Williamsport, PA 17701
(570) 320-7800
✔ PECOS✔ Accepts Medicare3.7 mi
Shelly Conner, CRNP
Nurse Practitioner
NPI 1114301165
1100 GRAMPIAN BLVD
Williamsport, PA 17701
(570) 326-8200
✔ PECOS✔ Accepts Medicare3.9 mi
Donna Mullarkey, MD
Family Practice
NPI 1376588426
1100 GRAMPIAN BLVD
Williamsport, PA 17701
(570) 320-7680
✔ PECOS✔ Accepts Medicare3.9 mi
Daniel Schuler, DO
Family Practice
NPI 1861013682
175 PINE ST STE 200
Williamsport, PA 17701
(570) 326-2447
✔ PECOS✔ Accepts Medicare4.7 mi
John Pellegrino
Family Practice
NPI 1932107596
700 HIGH ST FL 9 9TH FLOOR
Williamsport, PA 17701
(570) 321-2770
✔ PECOS✔ Accepts Medicare5.3 mi
Jonathan Seiferth, MD
Family Practice
NPI 1386224384
740 HIGH ST STE 4001
Williamsport, PA 17701
(570) 321-2345
✔ PECOS✔ Accepts Medicare5.4 mi
Steven Barrows, MD
Family Practice
NPI 1104263169
45 PARK DR ROUTE 405
Montgomery, PA 17752
(570) 546-4062
✔ PECOS✔ Accepts Medicare5.5 mi
Elizabeth Le, CRNP
Nurse Practitioner
NPI 1790482479
45 PARK DR
Montgomery, PA 17752
(570) 546-4062
✔ PECOS✔ Accepts Medicare5.5 mi
Amy Sudol
Internal Medicine
NPI 1811450604
45 PARK DR ROUTE 405
Montgomery, PA 17752
(570) 546-4062
✔ PECOS✔ Accepts Medicare5.5 mi
Michelle Cavanaugh
Family Practice
NPI 1023082351
145 SHAFFER ST
South Williamsport, PA 17702
(570) 326-2447
✔ PECOS✔ Accepts Medicare6.6 mi
Michael Su, MD
Family Practice
NPI 1639707326
10 WISTERIA LN
Williamsport, PA 17701
(215) 620-8523
✔ PECOS✔ Accepts Medicare8.9 mi
Nicholas Gorski, DO
Family Practice
NPI 1609339167
2370 OLD TURNPIKE RD STE 1
Lewisburg, PA 17837
(570) 551-0191
✔ PECOS✔ Accepts Medicare20 mi
Nakiasha Scheeler
Nurse Practitioner
NPI 1902424880
100 N ACADEMY AVE
Danville, PA 17822
(570) 271-6000
✔ PECOS25 mi
See all 26 clinicians

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

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 Susquehanna Physician Services's NPI number?

The NPI number for Susquehanna Physician Services is 1023065885. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is doing business as Susquehanna Health Medical Group.

Where is Susquehanna Physician Services located?

Susquehanna Physician Services is located at 900 Plaza Dr, Montoursville, PA 17754. The listed phone number is (570) 368-8621.

What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susquehanna Physician Services enrolled in Medicare?

Yes. Susquehanna Physician Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Susquehanna Physician Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 4 Medicare specialties reassign their Medicare billing to Susquehanna Physician Services. A 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 the clinician's services. The largest specialties are Family Practice (16), Nurse Practitioner (7) and Internal Medicine (2). Of these, 7 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Susquehanna Physician Services was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.