Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WELLSPAN MEDICAL GROUP
NPI 1073166963
Surgery in Ephrata, PA

Q: What is Wellspan Medical Group's NPI number?

The NPI number for Wellspan Medical Group is 1073166963. It was assigned to this organization in the NPPES registry on July 19, 2019. The provider is doing business as WellSpan Breast Surgery.

Q: What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since July 19, 2019

804 GRANDVIEW DR STE 2, EPHRATA, PA 17522(717) 639-2955(717) 461-7443 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 10, 2026, May 6, 2026, Aug 12, 2025 and 5 more (8 updates tracked since 2019).

On this page

About Wellspan Medical Group NPPES

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

WELLSPAN MEDICAL GROUP (NPI 1073166963), doing business as Wellspan Breast Surgery, is a healthcare organization registered as a surgery in Ephrata, Pennsylvania and active in the NPI registry since July 2019. The organization maintains 5 additional practice locations and lists Jennifer Sweitzer, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1073166963

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameWELLSPAN MEDICAL GROUP

Location Address804 GRANDVIEW DR STE 2Ephrata, PA 17522-1681

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405

Phone(717) 639-2955

Fax(717) 461-7443

Organization SubpartNo

Authorized OfficialJennifer SweitzerCredentialing Coordinator · (717) 851-6838

Enumeration DateJuly 19, 2019

Last NPPES UpdateSeptember 10, 20268 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2026

✔ NPI 1073166963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X

804 GRANDVIEW DR STE 2, Ephrata, PA 17522

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Other Names 1

Doing Business AsWellspan Breast Surgery

Secondary Practice Locations 5

Location 1210 Jpm Rd Ste 202Lewisburg, PA 17837-9367 · Phone (570) 522-4200

Location 2450 S Washington StGettysburg, PA 17325-2500 · Phone (717) 709-6599

Location 335 Erick RdLancaster, PA 17601-3111 · Phone (717) 639-2955

Location 4735 Norman Dr Ste BLebanon, PA 17042-7559 · Phone (717) 639-2955

Location 522 St Paul Dr Ste 207Chambersburg, PA 17201-1036 · Phone (717) 709-6599

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)

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

Clinicians Billing Medicare Through This Organization

3,072

Medicare enrollment records show 3,072 clinicians reassign Medicare billing to Wellspan Medical Group, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 183 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 65

Nurse Practitioner658

Certified Registered Nurse Anesthetist (CRNA)284

Family Practice275

Hospitalist205

Internal Medicine138

Obstetrics/Gynecology123

Anesthesiology107

Neurology100

57 other specialties1,182

Nearest to this location (20)

See all 3,072

Jose Mejia Aguirre, M.D.

General Surgery

NPI 1992737373

804 GRANDVIEW DR STE 2
Ephrata, PA 17522

(717) 466-2500

✔ PECOS✔ Accepts MedicareSame address

David Yearsley, M.D.

General Surgery

NPI 1629335187

804 GRANDVIEW DR STE 2
Ephrata, PA 17522

(717) 466-2500

✔ PECOS✔ Accepts MedicareSame address

Osvaldo Zumba, M.D.

General Surgery

NPI 1912261983

804 GRANDVIEW DR STE 2
Ephrata, PA 17522

(717) 466-2500

✔ PECOS✔ Accepts MedicareSame address

Jeffrey Keyser, DO

General Surgery

NPI 1346233400

804 GRANDVIEW DR STE 2
Ephrata, PA 17522

(717) 466-2500

✔ PECOSSame address

Leon Salem, M.D.

Vascular Surgery

NPI 1255597050

179 N READING RD
Ephrata, PA 17522

(717) 738-0167

✔ PECOS✔ Accepts Medicare0.1 mi

Corina Silaghi, CRNP

Nurse Practitioner

NPI 1659989762

179 N READING RD
Ephrata, PA 17522

(717) 738-0167

✔ PECOS✔ Accepts Medicare0.1 mi

Allen Arslanian, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1487277802

169 MARTIN AVE
Ephrata, PA 17522

(717) 738-6618

✔ Accepts Medicare0.1 mi

Rakesh Barak, M.D.

Diagnostic Radiology

NPI 1003014473

169 MARTIN AVE
Ephrata, PA 17522

(717) 738-6414

✔ PECOS✔ Accepts Medicare0.1 mi

Adam Batog, DO

Emergency Medicine

NPI 1871906347

169 MARTIN AVE
Ephrata, PA 17522

(717) 738-6420

✔ PECOS✔ Accepts Medicare0.1 mi

Eugene Camerino, D.O.

Hospitalist

NPI 1134462021

169 MARTIN AVE
Ephrata, PA 17522

(717) 721-4740

✔ PECOS✔ Accepts Medicare0.1 mi

Albert Fombu, M.D

Psychiatry

NPI 1417229535

169 MARTIN AVE
Ephrata, PA 17522

(717) 733-0311

✔ PECOS✔ Accepts Medicare0.1 mi

Tate Higgins

Internal Medicine

NPI 1629770318

169 MARTIN AVE
Ephrata, PA 17522

(717) 721-4740

✔ PECOS✔ Accepts Medicare0.1 mi

Prasad Krishnakurup, M.D

Interventional Radiology

NPI 1265840276

169 MARTIN AVE
Ephrata, PA 17522

(717) 738-6414

✔ PECOS✔ Accepts Medicare0.1 mi

Jacob Lasinsky, DO

Anesthesiology

NPI 1902484355

169 MARTIN AVEUNUE
Ephrata, PA 17522

(717) 733-0311

✔ PECOS✔ Accepts Medicare0.1 mi

Anoop Shah, MD

Physical Medicine and Rehabilitation

NPI 1780097378

169 MARTIN AVE
Ephrata, PA 17522

(717) 738-6797

✔ PECOS✔ Accepts Medicare0.1 mi

Danica Beebe, CNM

Certified Nurse Midwife (CNM)

NPI 1174941199

175 MARTIN AVE SUITE 125
Ephrata, PA 17522

(717) 721-5700

✔ PECOS✔ Accepts Medicare0.1 mi

Shivani Bista, MD

Obstetrics/Gynecology

NPI 1316320898

175 MARTIN AVE STE 125
Ephrata, PA 17522

(717) 721-5700

✔ PECOS✔ Accepts Medicare0.1 mi

Patrick Brunk, DO

Infectious Disease

NPI 1366007064

175 MARTIN AVE
Ephrata, PA 17522

(717) 738-6130

✔ PECOS✔ Accepts Medicare0.1 mi

Joseph Degenhard, MD

Family Practice

NPI 1528178522

808 PLEASANTVIEW DR
Ephrata, PA 17522

(717) 733-9090

✔ PECOS✔ Accepts Medicare0.2 mi

Brian Lockhart, M.D.

Pain Management

NPI 1962744219

808 PLEASANTVIEW DR
Ephrata, PA 17522

(717) 738-5674

✔ PECOS✔ Accepts Medicare0.2 mi

See all 3,072 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 Wellspan Medical Group's NPI number?

The NPI number for Wellspan Medical Group is 1073166963. It was assigned to this organization in the NPPES registry on July 19, 2019. The provider is doing business as WellSpan Breast Surgery.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 804 Grandview Dr Ste 2, Ephrata, PA 17522. The listed phone number is (717) 639-2955.

What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Wellspan Medical Group enrolled in Medicare?

Yes. Wellspan Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellspan Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 3,072 clinicians in 65 Medicare specialties reassign their Medicare billing to Wellspan Medical Group. 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 (658), Certified Registered Nurse Anesthetist (CRNA) (284) and Family Practice (275). Of these, 4 practice at this address and 183 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 Wellspan Medical Group was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.