THREE ANGELS FAMILY PRACTICE & WELLNESS CENTER, LLC
NPI 1205592250
Clinic/Center - Health Service in Hershey, PA
About Three Angels Family Practice & Wellness Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THREE ANGELS FAMILY PRACTICE & WELLNESS CENTER, LLC (NPI 1205592250) is a healthcare organization registered as a health service in Hershey, Pennsylvania and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Danette J Joseph, Md/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Three Angels Family Practice & Wellness Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Three Angels Family Practice & Wellness Center, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 39D2247074
Three Angels Family Practice & Wellness Ctr · Hershey, PAFrequently 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 Three Angels Family Practice & Wellness Center, LLC's NPI number?
The NPI number for Three Angels Family Practice & Wellness Center, LLC is 1205592250. It was assigned to this organization in the NPPES registry on November 15, 2021.
Where is Three Angels Family Practice & Wellness Center, LLC located?
Three Angels Family Practice & Wellness Center, LLC is located at 1249 Cocoa Ave, Hershey, PA 17033. The listed phone number is (717) 462-2590.
What is Three Angels Family Practice & Wellness Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Three Angels Family Practice & Wellness Center, LLC enrolled in Medicare?
Yes. Three Angels Family Practice & Wellness Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Three Angels Family Practice & Wellness Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Three Angels Family Practice & Wellness Center, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Three Angels Family Practice & Wellness Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2247074) is associated with this NPI, valid through January 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Three Angels Family Practice & Wellness Center, LLC was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Three Angels Family Practice & Wellness Center, Llc · NPI 1205592250
Health Service organization in Hershey, Pennsylvania. Organization record, active in the CMS NPPES registry since November 15, 2021.
## Identity
- **NPI:** 1205592250 (Entity type: Organization)
- **Enumerated:** November 15, 2021
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Danette Joseph, MD/OWNER
## Practice location
- **Address:** 1249 COCOA AVE, Hershey, PA 17033-3700
- **Phone:** (717) 462-2590
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 15, 2021
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1205592250) · Data from the CMS NPPES public registry.