WELLSPAN MEDICAL GROUP
NPI 1104799428
Surgery - Pediatric Surgery in York, PA

Active since September 24, 2025
25 MONUMENT RD STE 100, YORK, PA 17403(717) 812-7500(717) 848-2074 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wellspan Medical Group NPPES

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

WELLSPAN MEDICAL GROUP (NPI 1104799428), doing business as Wellspan Pediatric Surgical Specialist, is a healthcare organization registered as a pediatric surgery in York, Pennsylvania and active in the NPI registry since September 2025. The organization lists Jennifer Elaine Sweitzer, Director-patient Financial Services, as its authorized official.

NPPES Registry Identity

NPI1104799428
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address25 MONUMENT RD STE 100York, PA 17403-5050
Mailing AddressPo Box 12013York, PA 17402-0682 · (717) 851-6816
Fax(717) 848-2074
Organization SubpartYes
Authorized OfficialJennifer Elaine SweitzerDirector-patient Financial Services · (717) 851-6838
Enumeration DateSeptember 24, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1104799428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
25 MONUMENT RD STE 100, York, PA 17403

Other Names 1

Doing Business AsWellspan Pediatric Surgical Specialist

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, 117 practice at this address and 974 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
Certified Registered Nurse Anesthetist (CRNA)
NPI 1407609605
25 MONUMENT RD STE 270
York, PA 17403
(717) 741-8250
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1598146987
25 MONUMENT RD STE 290
York, PA 17403
(717) 812-4090
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1922028596
25 MONUMENT RD SUITE 140
York, PA 17403
(717) 741-8003
✔ PECOSSame address
Physical Therapist in Private Practice
NPI 1528755766
25 MONUMENT RD STE 290
York, PA 17403
(717) 812-4090
Same address
Occupational Therapist in Private Practice
NPI 1720433923
25 MONUMENT RD SUITE 290
York, PA 17403
(717) 812-4090
Same address
General Surgery
NPI 1174899389
25 MONUMENT RD STE 100
York, PA 17403
(717) 812-7500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740549427
25 MONUMENT RD STE 100
York, PA 17403
(717) 812-7500
✔ PECOSSame address
Hand Surgery
NPI 1730490210
25 MONUMENT RD STE 290
York, PA 17403
(717) 812-4090
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1346506995
25 MONUMENT RD STE 220B
York, PA 17403
(717) 812-2390
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1023058146
25 MONUMENT RD STE 270
York, PA 17403
(717) 741-8250
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1851312276
25 MONUMENT RD SUITE 100
York, PA 17403
(717) 741-4785
✔ PECOSSame address
Hematology/Oncology
NPI 1396783122
25 MONUMENT RD SUITE 294
York, PA 17403
(717) 741-9229
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1821351412
25 MONUMENT RD STE 105
York, PA 17403
(717) 851-7575
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1265743959
25 MONUMENT RD
York, PA 17403
(717) 812-7500
✔ PECOS✔ Accepts MedicareSame address
Gynecological Oncology
NPI 1952694747
25 MONUMENT RD STE 295
York, PA 17403
(717) 851-6120
✔ PECOSSame address
Hospitalist
NPI 1497773683
25 MONUMENT RD SUITE 140
York, PA 17403
(717) 741-8003
✔ PECOS✔ Accepts MedicareSame address
Colorectal Surgery (Proctology)
NPI 1942492947
25 MONUMENT RD STE 100
York, PA 17403
(717) 812-7500
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1760479034
25 MONUMENT RD STE 94
York, PA 17403
(717) 741-8180
✔ PECOS✔ Accepts MedicareSame address
Hematology
NPI 1679749121
25 MONUMENT RD STE 294
York, PA 17403
(717) 741-9229
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1447647904
25 MONUMENT RD STE 295
York, PA 17403
(717) 356-5864
✔ PECOS✔ Accepts MedicareSame address
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 1104799428. It was assigned to this organization in the NPPES registry on September 24, 2025. The provider is doing business as WellSpan Pediatric Surgical Specialist.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 25 Monument Rd Ste 100, York, PA 17403. The listed phone number is (717) 812-7500.

What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

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, 117 practice at this address and 974 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 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.