UPMC BLUE MOUNTAIN PRIMARY CARE
NPI 1063850774
Family Medicine in Harrisburg, PA

Active since June 05, 2013CLIA 39D2112838 · Microscopy
2808 OLD POST RD STE 104, HARRISBURG, PA 17110(717) 545-4786(717) 545-6359 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Upmc Blue Mountain Primary Care NPPES

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

UPMC BLUE MOUNTAIN PRIMARY CARE (NPI 1063850774) is a healthcare organization registered as a family medicine in Harrisburg, Pennsylvania and active in the NPI registry since June 2013. The organization holds a CLIA Microscopy certificate valid through May 9, 2028 and lists Amy Wilkinson, Pe Manager, as its authorized official.

NPPES Registry Identity

NPI1063850774
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePINNACLE HEALTH MEDICAL SERVICES
Location Address2808 OLD POST RD STE 104Harrisburg, PA 17110-3685
Mailing Address409 S 2nd St, Suite 2fHarrisburg, PA 17104-1612
Fax(717) 545-6359
Organization SubpartNo
Authorized OfficialAmy WilkinsonPe Manager · (717) 231-8038
Enumeration DateJune 5, 2013
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1063850774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedNurse PractitionerTaxonomy 363L00000X
2808 OLD POST RD STE 104, Harrisburg, PA 17110

Other Names 2

Doing Business AsUpmc Blue Mountain Primary Care
Other NameBlue Mountain Family Practice

Other Identifiers 1

Medicaid10076667600064PA

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 Blue Mountain 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 Blue Mountain Primary Care, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 741 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
Cardiovascular Disease (Cardiology)
NPI 1225176548
2808 OLD POST RD
Harrisburg, PA 17110
(717) 920-4400
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1356998082
2805 OLD POST RD STE 110
Harrisburg, PA 17110
(717) 635-2030
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1356112049
2805 OLD POST RD STE 110
Harrisburg, PA 17110
(717) 635-2030
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1457121568
2805 OLD POST RD STE 110
Harrisburg, PA 17110
(717) 635-2030
✔ Accepts MedicareSame address
Internal Medicine
NPI 1578054169
2808 OLD POST RD STE 104
Harrisburg, PA 17110
(717) 545-4786
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1508887803
2808 OLD POST RD
Harrisburg, PA 17110
(717) 920-4400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649553116
2808 OLD POST RD
Harrisburg, PA 17110
(717) 920-4400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356748693
2808 OLD POST RD
Harrisburg, PA 17110
(717) 920-4400
✔ PECOSSame address
Nurse Practitioner
NPI 1962979914
2151 LINGLESTOWN RD STE 100
Harrisburg, PA 17110
(717) 545-4786
✔ PECOS0.7 mi
Nurse Practitioner
NPI 1750521498
2151 LINGLESTOWN RD STE 100
Harrisburg, PA 17110
(717) 545-4786
✔ PECOS✔ Accepts Medicare0.7 mi
Family Practice
NPI 1639138076
2151 LINGLESTOWN RD STE 100
Harrisburg, PA 17110
(717) 545-4786
✔ PECOS0.7 mi
Podiatry
NPI 1164618260
4033 LINGLESTOWN RD SUITE 1
Harrisburg, PA 17112
(717) 651-0000
✔ PECOS✔ Accepts Medicare0.7 mi
Podiatry
NPI 1205822046
4033 LINGLESTOWN RD
Harrisburg, PA 17112
(717) 651-0000
✔ PECOS✔ Accepts Medicare0.7 mi
4000 LINGLESTOWN RD
Harrisburg, PA 17112
(717) 231-8867
✔ PECOS✔ Accepts Medicare0.8 mi
Geriatric Medicine
NPI 1144556846
4000 LINGLESTOWN RD
Harrisburg, PA 17112
(717) 231-8867
✔ PECOS✔ Accepts Medicare0.8 mi
Hospitalist
NPI 1932461332
4000 LINGLESTOWN RD
Harrisburg, PA 17112
(717) 231-8867
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1508813288
4000 LINGLESTOWN RD
Harrisburg, PA 17112
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1578724308
4000 LINGLESTOWN RD
Harrisburg, PA 17112
(717) 231-8867
✔ PECOS✔ Accepts Medicare0.8 mi
Hospitalist
NPI 1245220292
4000 LINGLESTOWN RD
Harrisburg, PA 17112
(717) 231-8867
✔ PECOS✔ Accepts Medicare0.8 mi
Hospice/Palliative Care
NPI 1346393550
4000 LINGLESTOWN RD
Harrisburg, PA 17112
(717) 231-8508
✔ PECOS0.8 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 for Provider-Performed Microscopy Procedures (PPMP) 39D2112838

Upmc Blue Mountain Primary Care · Harrisburg, PA
Active · expires May 9, 2028
CLIA Number39D2112838
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorDr. Firdausi Matawalle
Laboratory Phone(717) 545-4786
Laboratory LocationUpmc Blue Mountain Primary Care2808 Old Post Road, Suite 104, Harrisburg, PA 17110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 1063850774. It was assigned to this organization in the NPPES registry on June 5, 2013. The provider is doing business as Upmc Blue Mountain Primary Care. The provider is also known as Blue Mountain Family Practice.

Where is Pinnacle Health Medical Services located?

Pinnacle Health Medical Services is located at 2808 Old Post Rd Ste 104, Harrisburg, PA 17110. The listed phone number is (717) 545-4786.

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, 8 practice at this address and 741 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 for Provider-Performed Microscopy Procedures (PPMP) (number 39D2112838) is associated with this NPI, valid through May 9, 2028. 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 March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.