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WELLSPAN FAMILY MEDICINE - TROUT RUN
NPI 1124579651
Family Medicine in Ephrata, PA

Active since October 19, 2016
808 PLEASANTVIEW DR, EPHRATA, PA 17522(717) 733-9090(717) 733-8982 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wellspan Family Medicine - Trout Run NPPES

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

WELLSPAN FAMILY MEDICINE - TROUT RUN (NPI 1124579651) is a healthcare organization registered as a family medicine in Ephrata, Pennsylvania and active in the NPI registry since October 2016. The organization lists Christina Moon, Supervisor-verification Services, as its authorized official.

NPPES Registry Identity

NPI1124579651
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address808 PLEASANTVIEW DREphrata, PA 17522-1644
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 733-9090
Fax(717) 733-8982
Organization SubpartNo
Authorized OfficialChristina MoonSupervisor-verification Services · (717) 851-1405
Enumeration DateOctober 19, 2016
✔ NPI 1124579651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
808 PLEASANTVIEW DR, Ephrata, PA 17522
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Other Names 1

Doing Business AsWellspan Family Medicine - Trout Run

Other Identifiers 1

Medicare PIN117038FLTPA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 Family Medicine - Trout Run 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 Family Medicine - Trout Run, which bills Medicare for the services they deliver. Of these, 5 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
Joseph Degenhard, MD
Family Practice
NPI 1528178522
808 PLEASANTVIEW DR
Ephrata, PA 17522
(717) 733-9090
✔ PECOS✔ Accepts MedicareSame address
Monica Johnson Null, CRNP
Nurse Practitioner
NPI 1609329119
808 PLEASANTVIEW DR
Ephrata, PA 17522
(717) 738-5674
✔ PECOS✔ Accepts MedicareSame address
Maxwell Langer
Physical Medicine and Rehabilitation
NPI 1700463619
808 PLEASANTVIEW DR
Ephrata, PA 17522
(717) 466-2585
✔ PECOS✔ Accepts MedicareSame address
Brian Lockhart, M.D.
Pain Management
NPI 1962744219
808 PLEASANTVIEW DR
Ephrata, PA 17522
(717) 738-5674
✔ PECOS✔ Accepts MedicareSame address
Tony Vanetesse, DO
Pain Management
NPI 1295121390
808 PLEASANTVIEW DR
Ephrata, PA 17522
(717) 738-5674
✔ PECOS✔ Accepts MedicareSame address
John Dolena, D.O.
Psychiatry
NPI 1619195070
344 N READING RD
Ephrata, PA 17522
(717) 738-1125
✔ PECOS✔ Accepts Medicare0.2 mi
Gillian Grannum, PHD
Clinical Psychologist
NPI 1407292162
344 N READING RD
Ephrata, PA 17522
(717) 738-1125
✔ PECOS✔ Accepts Medicare0.2 mi
Jessica Weaver, CRNP
Nurse Practitioner
NPI 1548024243
344 N READING RD
Ephrata, PA 17522
(717) 738-1125
✔ PECOS✔ Accepts Medicare0.2 mi
Jose Mejia Aguirre, M.D.
General Surgery
NPI 1992737373
804 GRANDVIEW DR STE 2
Ephrata, PA 17522
(717) 466-2500
✔ PECOS✔ Accepts Medicare0.2 mi
Leon Salem, M.D.
Vascular Surgery
NPI 1255597050
179 N READING RD
Ephrata, PA 17522
(717) 738-0167
✔ PECOS✔ Accepts Medicare0.2 mi
Allen Arslanian, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1487277802
169 MARTIN AVE
Ephrata, PA 17522
(717) 738-6618
✔ Accepts Medicare0.3 mi
Rakesh Barak, M.D.
Diagnostic Radiology
NPI 1003014473
169 MARTIN AVE
Ephrata, PA 17522
(717) 738-6414
✔ PECOS✔ Accepts Medicare0.3 mi
Adam Batog, DO
Emergency Medicine
NPI 1871906347
169 MARTIN AVE
Ephrata, PA 17522
(717) 738-6420
✔ PECOS✔ Accepts Medicare0.3 mi
Eugene Camerino, D.O.
Hospitalist
NPI 1134462021
169 MARTIN AVE
Ephrata, PA 17522
(717) 721-4740
✔ PECOS✔ Accepts Medicare0.3 mi
Tate Higgins
Internal Medicine
NPI 1629770318
169 MARTIN AVE
Ephrata, PA 17522
(717) 721-4740
✔ PECOS✔ Accepts Medicare0.3 mi
Prasad Krishnakurup, M.D
Interventional Radiology
NPI 1265840276
169 MARTIN AVE
Ephrata, PA 17522
(717) 738-6414
✔ PECOS✔ Accepts Medicare0.3 mi
Jacob Lasinsky, DO
Anesthesiology
NPI 1902484355
169 MARTIN AVEUNUE
Ephrata, PA 17522
(717) 733-0311
✔ PECOS✔ Accepts Medicare0.3 mi
Anoop Shah, MD
Physical Medicine and Rehabilitation
NPI 1780097378
169 MARTIN AVE
Ephrata, PA 17522
(717) 738-6797
✔ PECOS✔ Accepts Medicare0.3 mi
Danica Beebe, CNM
Certified Nurse Midwife (CNM)
NPI 1174941199
175 MARTIN AVE SUITE 125
Ephrata, PA 17522
(717) 721-5700
✔ PECOS✔ Accepts Medicare0.3 mi
Shivani Bista, MD
Obstetrics/Gynecology
NPI 1316320898
175 MARTIN AVE STE 125
Ephrata, PA 17522
(717) 721-5700
✔ PECOS✔ Accepts Medicare0.3 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 1124579651. It was assigned to this organization in the NPPES registry on October 19, 2016. The provider is doing business as Wellspan Family Medicine - Trout Run.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 808 Pleasantview Dr, Ephrata, PA 17522. The listed phone number is (717) 733-9090.

What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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, 5 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 October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.