HEATHER LYNN DIFFENDALL CRNP
NPI 1194197731
Nurse Practitioner - Gerontology in Lebanon, PA
About Heather Lynn Diffendall Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER LYNN DIFFENDALL CRNP (NPI 1194197731) is an individual gerontology provider in Lebanon, Pennsylvania, licensed in Pennsylvania (SP015445) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Heather Lynn Diffendall Crnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Heather Diffendall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lebanon, PA 17042
- Reassigned Medicare billing, Pennsylvania enrollment
- 143 clinicians in this Medicare group
Lebanon, PA 17042
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellspan York Hospital
Acute Care Hospitals · York, PAWellspan Good Samaritan Hospital
Acute Care Hospitals · Lebanon, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LEBANON, PA 17042
LEBANON, PA 17042
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 Heather Diffendall's NPI number?
The NPI number for Heather Diffendall is 1194197731. It was assigned to this individual provider in the NPPES registry on October 22, 2015. The provider is also known as Heather Lynn Goodwin.
Where is Heather Diffendall located?
Heather Diffendall practices at 775 Norman Dr, Lebanon, PA 17042. The listed phone number is (717) 272-8173.
What is Heather Diffendall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Heather Diffendall enrolled in Medicare?
Yes. Heather Diffendall 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.
Which organizations bill Medicare for Heather Diffendall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Diffendall reassigns Medicare benefits to 2 organizations: Good Samaritan Physician Services (Lebanon, PA) and Wellspan Medical Group (Lebanon, PA). Each 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 Heather Diffendall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Heather Diffendall affiliated with any hospitals?
According to CMS data, Heather Diffendall is affiliated with Wellspan York Hospital and Wellspan Good Samaritan Hospital.
When was this NPI record last updated?
The NPPES record for Heather Diffendall was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Heather Lynn Diffendall, CRNP · NPI 1194197731
Gerontology physician in Lebanon, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 22, 2015.
## Identity
- **NPI:** 1194197731 (Entity type: Individual)
- **Enumerated:** October 22, 2015
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** SP015445 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 775 NORMAN DR, Lebanon, PA 17042-7497
- **Phone:** (717) 272-8173 · **Fax:** (717) 272-4029
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Good Samaritan Physician Services (NPI 1497021018, Lebanon, PA); Wellspan Medical Group (NPI 1831947126, Lebanon, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194197731) · Data from the CMS NPPES public registry.