WELLSPAN PHILHAVEN
NPI 1275758393
Clinic/Center in Lebanon, PA
About Wellspan Philhaven NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLSPAN PHILHAVEN (NPI 1275758393) is a healthcare organization registered as a clinic/center in Lebanon, Pennsylvania and active in the NPI registry since April 2007. The organization maintains 20 additional practice locations and lists Mantha Kotsalos, Vp & President Philhaven, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Secondary Practice Locations 20
Other Identifiers 12
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 Philhaven is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
139Medicare enrollment records show 139 clinicians reassign Medicare billing to Wellspan Philhaven, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 53 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 139Lebanon, PA 17042
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 Philhaven's NPI number?
The NPI number for Philhaven is 1275758393. It was assigned to this organization in the NPPES registry on April 16, 2007. The provider is doing business as Wellspan Philhaven. The provider is also known as WellSpan Philhaven Outpatient.
Where is Philhaven located?
Philhaven is located at 283 S Butler Rd, Lebanon, PA 17042. The listed phone number is (717) 270-2422.
What is Philhaven's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Philhaven enrolled in Medicare?
Yes. Philhaven is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Philhaven?
According to the CMS Revalidation Reassignment List (October 2026 release), 139 clinicians in 6 Medicare specialties reassign their Medicare billing to Philhaven. 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 Psychiatry (47), Clinical Social Worker (27) and Nurse Practitioner (25). Of these, 9 practice at this address and 53 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 Philhaven was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Wellspan Philhaven · NPI 1275758393
Clinic/Center organization in Lebanon, Pennsylvania. Organization record, active in the CMS NPPES registry since April 16, 2007.
## Identity
- **NPI:** 1275758393 (Entity type: Organization)
- **Enumerated:** April 16, 2007
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Philhaven
- **Also known as:** WellSpan Philhaven Outpatient (Other Name)
- **Organization subpart:** No
- **Authorized official:** Mantha Kotsalos, VP & PRESIDENT PHILHAVEN
## Practice location
- **Address:** 283 S BUTLER RD, Lebanon, PA 17042-8939
- **Phone:** (717) 270-2422 · **Fax:** (717) 279-2792
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 139 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (47), Clinical Social Worker (27), Nurse Practitioner (25); 9 practice at this address and 53 within 10 miles; [full list](https://npiprofile.com/npi/1275758393/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2024
- **Other identifiers:** Medicaid 1007720000131 (PA); Medicaid 1007720000134 (PA); Medicaid 1007720000135 (PA); and 9 more
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Source: [NPI Profile](https://npiprofile.com/npi/1275758393) · Data from the CMS NPPES public registry.