BRAD A HERTZLER MSN, APRN, FNP-C
NPI 1205544236
Nurse Practitioner - Family in Ephrata, PA

Q: What is Brad Hertzler's NPI number?

The NPI number for Brad Hertzler is 1205544236. It was assigned to this individual provider in the NPPES registry on November 8, 2022.

Q: What is Brad Hertzler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Brad Hertzler was last updated on December 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 08, 2022PECOS EnrolledAccepts Medicare Assignment

101 LARKSPUR LN, EPHRATA, PA 17522(717) 738-0660 Get Directions Write a Review

NPPES record last updated: December 11, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 11, 2022, Nov 8, 2022 (2 updates tracked since 2022).

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About Brad A Hertzler Msn, Aprn, Fnp-c NPPES

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

BRAD A HERTZLER MSN, APRN, FNP-C (NPI 1205544236) is an individual family provider in Ephrata, Pennsylvania, licensed in Pennsylvania (SP026451) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and maintains a secondary practice location in Ephrata.

NPPES Registry Identity

NPI1205544236

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBRAD A HERTZLERCredential: MSN, APRN, FNP-C

Location Address101 LARKSPUR LNEphrata, PA 17522-8402

Mailing Address443 Nevin StLancaster, PA 17603-3360 · (520) 314-6292

Phone(717) 738-0660

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 8, 2022

Last NPPES UpdateDecember 11, 20222 updates tracked since enumeration

NPPES CertifiedNovember 10, 2022

✔ NPI 1205544236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP026451

101 LARKSPUR LN, Ephrata, PA 17522

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Secondary Practice Location 1

Location 11261 Division Hwy Ste 1Ephrata, PA 17522-8822 · Phone (717) 738-5320

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Brad A Hertzler Msn, Aprn, Fnp-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 ID5395117741

PECOS Enrollment IDI20230211000037

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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

137 services98 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

74 services71 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

28 services28 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

26 services26 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

17 services16 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

16 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390100

Location555 North Duke StreetLancaster, PA 17602 · Lancaster 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 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 4

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

DR. JONATHAN MUSYT MD

Family Medicine

101 LARKSPUR LN
EPHRATA, PA 17522

Lancaster County (717) 738-0660

JAMES O'SHEA

Family Medicine

101 LARKSPUR LN
EPHRATA, PA 17522

Lancaster County (717) 544-4950

KRISTEN REESER CRNP

Nurse Practitioner (Family)

101 LARKSPUR LN
EPHRATA, PA 17522

Lancaster County (717) 738-0660

CURTIS L HERSHEY M.D.

Family Medicine

101 LARKSPUR LN
EPHRATA, PA 17522

Lancaster County (717) 738-0660

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 Brad Hertzler's NPI number?

The NPI number for Brad Hertzler is 1205544236. It was assigned to this individual provider in the NPPES registry on November 8, 2022.

Where is Brad Hertzler located?

Brad Hertzler practices at 101 Larkspur Ln, Ephrata, PA 17522. The listed phone number is (717) 738-0660.

What is Brad Hertzler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brad Hertzler enrolled in Medicare?

Yes. Brad Hertzler 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.

What insurance does Brad Hertzler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Brad Hertzler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brad Hertzler affiliated with any hospitals?

According to CMS data, Brad Hertzler is affiliated with Lancaster General Hospital and Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Brad Hertzler was last updated on December 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.