UPMC EPHRATA PRIMARY CARE
NPI 1043978125
Family Medicine in Ephrata, PA

Active since December 06, 2021CLIA 39D0188003 · Waiver
4229 OREGON PIKE, EPHRATA, PA 17522(717) 445-4371(717) 445-4767 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2023, Dec 6, 2021 (2 updates tracked since 2021).

About Upmc Ephrata Primary Care NPPES

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

UPMC EPHRATA PRIMARY CARE (NPI 1043978125) is a healthcare organization registered as a family medicine in Ephrata, Pennsylvania and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through December 14, 2026, maintains a secondary practice location in Denver, and lists Amy F Wilkinson, Pe Manager, as its authorized official.

NPPES Registry Identity

NPI1043978125
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePINNACLE HEALTH MEDICAL SERVICES
Location Address4229 OREGON PIKEEphrata, PA 17522-9450
Mailing Address409 S 2nd St Ste 2fHarrisburg, PA 17104-1612 · (717) 231-8049
Fax(717) 445-4767
Organization SubpartNo
Authorized OfficialAmy F WilkinsonPe Manager · (717) 231-8038
Enumeration DateDecember 6, 2021
Last NPPES UpdateApril 3, 20232 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
✔ NPI 1043978125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4229 OREGON PIKE, Ephrata, PA 17522

Other Names 2

Doing Business AsUpmc Ephrata Primary Care
Other NameUpmc Denver Primary Care

Secondary Practice Location 1

Location 1320 School RdDenver, PA 17517-9728 · Phone (717) 445-4371 · Fax (717) 445-4767

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)

Upmc Ephrata Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,896

Medicare enrollment records show 1,896 clinicians reassign Medicare billing to Upmc Ephrata Primary Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 93 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 62

Nurse Practitioner496
Family Practice153
Pediatric Medicine148
Internal Medicine117
Obstetrics/Gynecology117
Neurology104
General Surgery73
Certified Nurse Midwife (CNM)53
54 other specialties635

Nearest to this location (20)

See all 1,896
Family Practice
NPI 1346214780
4229 OREGON PIKE
Ephrata, PA 17522
(717) 445-4371
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1720022254
2501 OREGON PIKE
Lancaster, PA 17601
(717) 735-1954
✔ PECOS✔ Accepts Medicare3.9 mi
Psychiatry
NPI 1174585129
2501 OREGON PIKE
Lancaster, PA 17601
(717) 735-1954
✔ PECOS✔ Accepts Medicare3.9 mi
Neurology
NPI 1730173485
640 EAST OREGON ROAD
Lititz, PA 17543
(717) 569-8773
✔ PECOS4.0 mi
Hospitalist
NPI 1710913553
169 MARTIN AVE
Ephrata, PA 17522
(717) 721-4740
✔ PECOS✔ Accepts Medicare4.2 mi
Nurse Practitioner
NPI 1295216372
600 E MAIN ST
Lititz, PA 17543
(717) 988-8446
✔ PECOS✔ Accepts Medicare4.3 mi
Pediatric Medicine
NPI 1477880029
100 HIGHLANDS DR SUITE 204
Lititz, PA 17543
(717) 626-5437
✔ PECOS4.7 mi
Nurse Practitioner
NPI 1578222071
446 N READING RD
Ephrata, PA 17522
(717) 738-5275
✔ PECOS✔ Accepts Medicare4.9 mi
Internal Medicine
NPI 1215533187
446 N READING RD STE 301
Ephrata, PA 17522
(717) 733-6546
✔ PECOS✔ Accepts Medicare4.9 mi
Nurse Practitioner
NPI 1730733296
3001 LITITZ PIKE
Lititz, PA 17543
(717) 231-8508
✔ PECOS✔ Accepts Medicare4.9 mi
Family Practice
NPI 1518457944
1535 HIGHLANDS DR STE 100
Lititz, PA 17543
(717) 627-4088
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1710782818
1535 HIGHLANDS DR STE 100
Lititz, PA 17543
(717) 627-4088
✔ PECOS✔ Accepts Medicare5.0 mi
Internal Medicine
NPI 1881079556
1535 HIGHLANDS DR STE 100
Lititz, PA 17543
(717) 627-4088
✔ PECOS5.0 mi
Nurse Practitioner
NPI 1366437873
2207 OREGON PIKE STE 202
Lancaster, PA 17601
(717) 560-6470
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1578374583
1555 HIGHLANDS DR STE 190
Lititz, PA 17543
(717) 291-8345
✔ PECOS✔ Accepts Medicare5.0 mi
Cardiovascular Disease (Cardiology)
NPI 1811934565
1555 HIGHLANDS DR STE 100
Lititz, PA 17543
(717) 299-5000
✔ PECOS✔ Accepts Medicare5.0 mi
Clinical Social Worker
NPI 1366171324
1555 HIGHLANDS DR
Lititz, PA 17543
(717) 988-9430
✔ PECOS✔ Accepts Medicare5.0 mi
Obstetrics/Gynecology
NPI 1679849855
1575 HIGHLANDS DR STE 101
Lititz, PA 17543
(717) 393-1338
✔ PECOS5.0 mi
Certified Nurse Midwife (CNM)
NPI 1598131955
1575 HIGHLANDS DR SUITE 101
Lititz, PA 17543
(888) 393-1338
✔ PECOS5.0 mi
Nurse Practitioner
NPI 1609585173
1500 HIGHLANDS DR
Lititz, PA 17543
(717) 568-8865
✔ PECOS5.1 mi
See all 1,896 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0188003

Upmc Ephrata Primary Care · Ephrata, PA
Active · expires Dec 14, 2026
CLIA Number39D0188003
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorDr. Joseph W. Strangarity
Laboratory Phone(717) 445-4371
Laboratory LocationUpmc Ephrata Primary Care4229 Oregon Pike, Ephrata, PA 17522
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pinnacle Health Medical Services's NPI number?

The NPI number for Pinnacle Health Medical Services is 1043978125. It was assigned to this organization in the NPPES registry on December 6, 2021. The provider is doing business as Upmc Ephrata Primary Care. The provider is also known as UPMC Denver Primary Care.

Where is Pinnacle Health Medical Services located?

Pinnacle Health Medical Services is located at 4229 Oregon Pike, Ephrata, PA 17522. The listed phone number is (717) 445-4371.

What is Pinnacle Health Medical Services's specialty?

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

Is Pinnacle Health Medical Services enrolled in Medicare?

Yes. Pinnacle Health Medical Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pinnacle Health Medical Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,896 clinicians in 62 Medicare specialties reassign their Medicare billing to Pinnacle Health Medical 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 Nurse Practitioner (496), Family Practice (153) and Pediatric Medicine (148). Of these, 1 practice at this address and 93 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pinnacle Health Medical Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0188003) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pinnacle Health Medical Services was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.