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DR. RACHELLE LYNN AMBROSE MD
NPI 1114956612
Pediatrics in York, PA

Active since June 30, 2006PECOS Enrolled
2050 S QUEEN ST, STE 100, YORK, PA 17403(717) 812-4240(717) 848-5520 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Rachelle Lynn Ambrose Md NPPES

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

DR. RACHELLE LYNN AMBROSE MD (NPI 1114956612) is an individual pediatrics provider in York, Pennsylvania, licensed in Pennsylvania (MD418846) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dover.

NPPES Registry Identity

NPI1114956612
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. RACHELLE LYNN AMBROSECredential: MD
Location Address2050 S QUEEN ST, STE 100York, PA 17403-4829
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 812-4240
Fax(717) 848-5520
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
✔ NPI 1114956612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD418846
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2050 S QUEEN ST, York, PA 17403
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Secondary Practice Location 1

Location 14020 Carlisle RdDover, PA 17315-3508 · Phone (717) 812-4240 · Fax (717) 851-6460

Other Identifiers 11

Other03163601PA · Capital Blue Cross-wmg
Other281434PA · Mamsi-wmg
OtherP004690PA · Gateway-wmg
Other104591PA · Johns Hopkins
Other20015715PA · Amerihealth Mercy-wmg Qst
Other100433PA · Geisinger
Other20016261PA · Amerihealth Mercy-wmg Crd
Other7909460PA · Aetna
Other129798PA · Unison-wmg
Other1392227PA · Highmark Blue Shield
Medicaid001886774PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rachelle Lynn Ambrose Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Rachelle Ambrose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellspan Medical Group
Same address
Obstetrics & Gynecology
2050 S QUEEN ST, STE 200
York, PA 17403
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1629139621 (717) 812-2316

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. KELLY DANIELLE FLYNN DO
Pediatrics
2050 S QUEEN ST
YORK, PA 17403
York County (717) 812-4240
DR. ANI ELISE STULL D.O.
Obstetrics & Gynecology
2050 S QUEEN ST
YORK, PA 17403
York County (717) 812-2316
DR. BRENDA BOUCHARD SINGAL MD
Pediatrics
2050 S QUEEN ST, STE 100
YORK, PA 17403
York County (717) 812-4240
MRS. CAROLINE ANN HALL MD
Pediatrics
2050 S QUEEN ST, STE 100
YORK, PA 17403
York County (717) 812-4240
DR. ROBERT CHESTER LANDIS MD
Pediatrics
2050 S QUEEN ST, STE 100
YORK, PA 17403
York County (717) 812-4240
DR. RAJESH SINGAL MD
Pediatrics
2050 S QUEEN ST, STE 100
YORK, PA 17403
York County (717) 812-4240
DR. DAVID WILLIAM ZELIS MD
Pediatrics
2050 S QUEEN ST, STE 100
YORK, PA 17403
York County (717) 812-4240
DR. BARBARA ANN TAUTKUS MD
Pediatrics
2050 S QUEEN ST, STE 100
YORK, PA 17403
York County (717) 812-4240

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 Rachelle Ambrose's NPI number?

The NPI number for Rachelle Ambrose is 1114956612. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Rachelle Ambrose located?

Rachelle Ambrose practices at 2050 S Queen St Ste 100, York, PA 17403. The listed phone number is (717) 812-4240.

What is Rachelle Ambrose's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Rachelle Ambrose enrolled in Medicare?

Yes. Rachelle Ambrose is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rachelle Ambrose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachelle Ambrose reassigns Medicare benefits to Wellspan Medical Group (York, PA). The 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 Rachelle Ambrose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rachelle Ambrose was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.