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WELLSPAN FAMILY MEDICINE - TERRE HILL
NPI 1265983613
Family Medicine in East Earl, PA

Active since October 20, 2016CLIA 39D0188275 · Microscopy
770 BROAD ST, EAST EARL, PA 17519(717) 445-4576(717) 445-4483 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Oct 20, 2016 (2 updates tracked since 2016).

About Wellspan Family Medicine - Terre Hill NPPES

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

WELLSPAN FAMILY MEDICINE - TERRE HILL (NPI 1265983613) is a healthcare organization registered as a family medicine in East Earl, Pennsylvania and active in the NPI registry since October 2016. The organization holds a CLIA Microscopy certificate valid through September 15, 2028 and lists Christina Moon, Supervisor-verification Services, as its authorized official.

NPPES Registry Identity

NPI1265983613
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address770 BROAD STEast Earl, PA 17519-9752
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 445-4576
Fax(717) 445-4483
Organization SubpartNo
Authorized OfficialChristina MoonSupervisor-verification Services · (717) 851-1405
Enumeration DateOctober 20, 2016
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1265983613 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.
770 BROAD ST, East Earl, PA 17519
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Other Names 1

Doing Business AsWellspan Family Medicine - Terre Hill

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 - Terre Hill 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 - Terre Hill, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 168 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
Christopher Mccarty, DO
Family Practice
NPI 1336430198
770 BROAD ST
East Earl, PA 17519
(717) 445-4576
✔ PECOS✔ Accepts MedicareSame address
Karen Sauder, CRNP
Nurse Practitioner
NPI 1194926436
770 BROAD STREET
East Earl, PA 17519
(717) 445-4576
✔ PECOS✔ Accepts MedicareSame address
Bruce Waskowicz, M.D.
Family Practice
NPI 1558378760
770 BROAD STRET
East Earl, PA 17519
(717) 445-4576
✔ PECOS✔ Accepts MedicareSame address
Kelly Hahn, CRNP
Nurse Practitioner
NPI 1023565280
435 S KINZER AVE
New Holland, PA 17557
(717) 766-2413
✔ PECOS4.6 mi
Madeleine Hoffman, RD, LDN
Registered Dietitian or Nutrition Professional
NPI 1437967742
63 W CHURCH ST
Stevens, PA 17578
(717) 336-6578
4.8 mi
Rajiv Kalra, DO
Family Practice
NPI 1831340884
30 W SWARTZVILLE RD
Reinholds, PA 17569
(717) 484-4347
✔ PECOS✔ Accepts Medicare5.0 mi
Julianne Rees-Swartz
Family Practice
NPI 1770939738
30 W SWARTZVILLE RD
Reinholds, PA 17569
(717) 484-4347
✔ PECOS✔ Accepts Medicare5.0 mi
Amy Witmer, FNP
Nurse Practitioner
NPI 1477109387
30 W SWARTZVILLE RD
Reinholds, PA 17569
(717) 484-4347
✔ PECOS✔ Accepts Medicare5.0 mi
James Fugate, MD
Pediatric Medicine
NPI 1225148653
30 W SWARTZVILLE RD
Reinholds, PA 17569
(717) 484-4347
✔ PECOS✔ Accepts Medicare5.1 mi
Dawa Paljor Sherpa
Nurse Practitioner
NPI 1083407985
30 W SWARTZVILLE RD
Reinholds, PA 17569
(717) 484-4347
✔ PECOS✔ Accepts Medicare5.1 mi
Jason Marone, M.D.
General Surgery
NPI 1548424344
63 W CHURCH ST
Stevens, PA 17578
(717) 721-8795
✔ PECOS✔ Accepts Medicare5.5 mi
Paul Avadanian, DO
General Practice
NPI 1043313083
136 A&B LAKE STREET LAKE STREET FAMILY PRACTICE
Ephrata, PA 17522
(717) 721-7718
✔ PECOS✔ Accepts Medicare6.6 mi
Mandy Fannin, M.D.
Family Practice
NPI 1972725877
136 LAKE ST
Ephrata, PA 17522
(717) 721-7718
✔ PECOS✔ Accepts Medicare6.6 mi
Giridhar Adiga, MD
Medical Oncology
NPI 1356374417
460 N READING RD
Ephrata, PA 17522
(717) 738-4070
✔ PECOS6.7 mi
Mohammed Hussain, MD
Radiation Oncology
NPI 1225126535
460 N READING RD
Ephrata, PA 17522
(717) 721-4840
✔ PECOS6.7 mi
Arun Agrawal, MD
Pulmonary Disease
NPI 1932300241
446 N READING RD
Ephrata, PA 17522
(717) 738-4334
✔ PECOS✔ Accepts Medicare6.7 mi
Shaimaa El Shaarawy, MD, PHD, MS
Internal Medicine
NPI 1215533187
446 N READING RD STE 301
Ephrata, PA 17522
(717) 733-6546
✔ PECOS✔ Accepts Medicare6.7 mi
Brian Vells, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1174813315
PO BOX 1002
Ephrata, PA 17522
(717) 738-6618
✔ Accepts Medicare6.8 mi
John Dolena, D.O.
Psychiatry
NPI 1619195070
344 N READING RD
Ephrata, PA 17522
(717) 738-1125
✔ PECOS✔ Accepts Medicare6.9 mi
Gillian Grannum, PHD
Clinical Psychologist
NPI 1407292162
344 N READING RD
Ephrata, PA 17522
(717) 738-1125
✔ PECOS✔ Accepts Medicare6.9 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.

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 for Provider-Performed Microscopy Procedures (PPMP) 39D0188275

Wellspan Family Medicine-Terre Hill · East Earl, PA
Active · expires Sep 15, 2028
CLIA Number39D0188275
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 16, 2026
Certificate Expiration DateSeptember 15, 2028
Laboratory DirectorDr. Bruce C. Waskowicz
Laboratory Phone(717) 445-4576
Laboratory LocationWellspan Family Medicine-Terre Hill770 Broad Street, East Earl, PA 17519
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 1265983613. It was assigned to this organization in the NPPES registry on October 20, 2016. The provider is doing business as Wellspan Family Medicine - Terre Hill.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 770 Broad St, East Earl, PA 17519. The listed phone number is (717) 445-4576.

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.

Does Wellspan Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D0188275) is associated with this NPI, valid through September 15, 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 Wellspan Medical Group was last updated on July 21, 2022. 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.