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MARNI ELIZABETH VOUGHT PA-C
NPI 1104651009
Physician Assistant - Medical in Lebanon, PA

Active since September 03, 2024PECOS EnrolledAccepts Medicare Assignment
956 ISABEL DR, LEBANON, PA 17042(717) 639-2255 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2026, Mar 16, 2026, Sep 3, 2024 (3 updates tracked since 2024).

About Marni Elizabeth Vought Pa-c NPPES

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

MARNI ELIZABETH VOUGHT PA-C (NPI 1104651009) is an individual medical provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MA065892) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Wellspan Good Samaritan Hospital, and maintains a secondary practice location in Palmyra.

NPPES Registry Identity

NPI1104651009
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARNI ELIZABETH VOUGHTCredential: PA-C
Location Address956 ISABEL DRLebanon, PA 17042-7482
Mailing Address601 Memory LnYork, PA 17402-2231
Phone(717) 639-2255
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2024
Enumeration DateSeptember 3, 2024
Last NPPES UpdateApril 9, 20263 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1104651009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA065892
956 ISABEL DR, Lebanon, PA 17042
Open in Google Maps ↗

Secondary Practice Location 1

Location 11400 S Forge RdPalmyra, PA 17078-9519 · Phone (717) 639-2255

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marni Elizabeth Vought Pa-c 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 ID8527592765
PECOS Enrollment IDI20241112000343
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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

Other Providers at the Same Location NPPES 8

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

BEN Z ROITBERG MD
Neurological Surgery
956 ISABEL DR
LEBANON, PA 17042
Lebanon County (717) 639-2255
ZENAIDA KUTZ
Nurse Practitioner (Family)
956 ISABEL DR
LEBANON, PA 17042
Lebanon County (717) 639-2255
ERIKA LOUISE CANOUSE PA-C
Physician Assistant (Medical)
956 ISABEL DR
LEBANON, PA 17042
Lebanon County (717) 639-3640
SARAH O ERLIKH MD
Physical Medicine & Rehabilitation
956 ISABEL DR
LEBANON, PA 17042
Lebanon County (717) 639-2255
EFKAN MUSTAFA COLPAN M.D.
Neurological Surgery
956 ISABEL DR
LEBANON, PA 17042
Lebanon County (717) 639-3640
DR. ROBERT T KNIPE D.O.
Psychiatry & Neurology (Pain Medicine)
956 ISABEL DR
LEBANON, PA 17042
Lebanon County (717) 639-2255
GSH URGENT CARE, INC
Clinic/Center (Urgent Care)
956 ISABEL DR
LEBANON, PA 17042
Lebanon County (717) 270-5677
AJITPAL GREWAL M.D.
Anesthesiology (Pain Medicine)
956 ISABEL DR
LEBANON, PA 17042
Lebanon County (717) 639-2255

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 Marni Vought's NPI number?

The NPI number for Marni Vought is 1104651009. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Marni Vought located?

Marni Vought practices at 956 Isabel Dr, Lebanon, PA 17042. The listed phone number is (717) 639-2255.

What is Marni Vought's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Marni Vought enrolled in Medicare?

Yes. Marni Vought 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.

Is Marni Vought affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Marni Vought was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.