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MEDITELECARE OF PENNSYLVANIA LLC
NPI 1396351847
Psychologist - Clinical in Harrisburg, PA

Active since September 21, 2020
600 N 2ND ST STE 401, HARRISBURG, PA 17101(860) 788-6404(860) 829-0495 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2025, Sep 4, 2024, Sep 21, 2020 (3 updates tracked since 2020).

About Meditelecare Of Pennsylvania Llc NPPES

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

MEDITELECARE OF PENNSYLVANIA LLC (NPI 1396351847) is a healthcare organization registered as a clinical in Harrisburg, Pennsylvania and active in the NPI registry since September 2020. The organization lists Andrea Godfrey, Credentialing & Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1396351847
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMEDITELECARE OF PENNSYLVANIA LLC
Location Address600 N 2ND ST STE 401Harrisburg, PA 17101-1071
Mailing AddressPo Box 1595Middletown, CT 06457-8095 · (860) 788-6404 · Fax (860) 829-0495
Phone(860) 788-6404
Fax(860) 829-0495
Organization SubpartNo
Authorized OfficialAndrea GodfreyCredentialing & Enrollment Manager · (860) 398-6441
Enumeration DateSeptember 21, 2020
Last NPPES UpdateMay 5, 20253 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1396351847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X
Also ListedNurse PractitionerTaxonomy 363L00000X
600 N 2ND ST STE 401, Harrisburg, PA 17101
Open in Google Maps ↗

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

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meditelecare Of Pennsylvania Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

66

Medicare enrollment records show 66 clinicians reassign Medicare billing to Meditelecare Of Pennsylvania LLC, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner44
Clinical Psychologist11
Clinical Social Worker10
Psychiatry1

Nearest to this location (20)

See all 66
Karen Bensinger
Nurse Practitioner
NPI 1790933893
600 N 2ND ST STE 401
Harrisburg, PA 17101
(860) 788-6404
✔ PECOS✔ Accepts MedicareSame address
Lisa Butz, CRNP
Nurse Practitioner
NPI 1962834135
600 N 2ND ST STE 401
Harrisburg, PA 17101
(860) 788-6404
✔ PECOS✔ Accepts MedicareSame address
Epauline Faubert, LCSW
Clinical Social Worker
NPI 1609202860
600 N 2ND ST STE 401
Harrisburg, PA 17101
(484) 628-8070
✔ PECOS✔ Accepts MedicareSame address
Amanda Garcia
Clinical Social Worker
NPI 1700464203
600 N 2ND ST STE 401
Harrisburg, PA 17101
(860) 788-6404
✔ PECOS✔ Accepts MedicareSame address
Maureen Griffin, LSW
Clinical Social Worker
NPI 1952866741
600 N 2ND ST STE 401
Harrisburg, PA 17101
(860) 788-6404
✔ PECOS✔ Accepts MedicareSame address
Foday Janneh
Nurse Practitioner
NPI 1346712353
600 N 2ND ST STE 401
Harrisburg, PA 17101
(860) 788-6404
✔ PECOSSame address
Megan Lofgren, NP
Nurse Practitioner
NPI 1619252848
600 N 2ND ST STE 401
Harrisburg, PA 17101
(877) 742-6992
✔ PECOS✔ Accepts MedicareSame address
Jamie Neal, CRNP, FNP-C
Nurse Practitioner
NPI 1386161123
600 N 2ND ST STE 401
Harrisburg, PA 17101
(860) 788-6404
✔ PECOSSame address
David Rambo
Nurse Practitioner
NPI 1912131780
600 N 2ND ST STE 401
Harrisburg, PA 17101
(860) 788-6404
✔ PECOS✔ Accepts MedicareSame address
Robert Shambaugh, PSY. D
Clinical Psychologist
NPI 1245446673
600 N 2ND ST STE 401
Harrisburg, PA 17101
(877) 742-6992
✔ PECOS✔ Accepts MedicareSame address
Tracey Shivok-Jefferson, NP-C
Nurse Practitioner
NPI 1053699025
600 N 2ND ST STE 401
Harrisburg, PA 17101
(860) 788-6404
✔ PECOS✔ Accepts MedicareSame address
Sandra Stom, CRNP
Nurse Practitioner
NPI 1932437167
600 N 2ND ST STE 401
Harrisburg, PA 17101
(860) 788-6404
✔ PECOS✔ Accepts MedicareSame address
Tiffani Tatko, DNP, PMHNP
Nurse Practitioner
NPI 1215535331
600 N 2ND ST STE 401
Harrisburg, PA 17101
(412) 850-5255
✔ PECOS✔ Accepts MedicareSame address
Nicholas Uram, PSY.D.
Clinical Psychologist
NPI 1730614355
600 N 2ND ST STE 401
Harrisburg, PA 17101
(860) 788-6404
✔ PECOS✔ Accepts MedicareSame address
Autumn Gardner, PMHNP
Nurse Practitioner
NPI 1407674120
600 N 2ND ST STE 401
Harrisburg, PA 17101
(860) 788-6404
✔ PECOS✔ Accepts MedicareSame address
Jill Pentangelo, CRNP
Nurse Practitioner
NPI 1720403868
MEDITELECARE OF PENNSYLVANIA, LLC 600 N. 2ND STREET
Harrisburg, PA 17010
(860) 788-6404
✔ PECOS✔ Accepts Medicare0.5 mi
Emily Smerilli, CRNP, FNP-C
Nurse Practitioner
NPI 1588914212
MEDITELECARE OF PA, LLC 600 NORTH 2ND STREET SUITE 401
Harrisburg, PA 17101
(877) 742-6992
✔ PECOS✔ Accepts Medicare0.5 mi
Kate Marcelli, PSY.D.
Clinical Psychologist
NPI 1700182292
2595 INTERSTATE DR STE 103
Harrisburg, PA 17110
(800) 370-3651
✔ PECOS✔ Accepts Medicare4.0 mi
Karl Hursey, PHD
Clinical Psychologist
NPI 1881636355
2595 INTERSTATE DR SUITE 103
Harrisburg, PA 17110
(800) 370-3651
✔ PECOS✔ Accepts Medicare4.0 mi
Katherine Miller, CRNP
Nurse Practitioner
NPI 1053925560
2595 INTERSTATE DR
Harrisburg, PA 17110
(800) 730-3651
✔ PECOS✔ Accepts Medicare4.0 mi
See all 66 clinicians

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 Meditelecare Of Pennsylvania LLC's NPI number?

The NPI number for Meditelecare Of Pennsylvania LLC is 1396351847. It was assigned to this organization in the NPPES registry on September 21, 2020.

Where is Meditelecare Of Pennsylvania LLC located?

Meditelecare Of Pennsylvania LLC is located at 600 N 2nd St Ste 401, Harrisburg, PA 17101. The listed phone number is (860) 788-6404.

What is Meditelecare Of Pennsylvania LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Meditelecare Of Pennsylvania LLC enrolled in Medicare?

Yes. Meditelecare Of Pennsylvania LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Meditelecare Of Pennsylvania LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 66 clinicians in 4 Medicare specialties reassign their Medicare billing to Meditelecare Of Pennsylvania 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. The largest specialties are Nurse Practitioner (44), Clinical Psychologist (11) and Clinical Social Worker (10). Of these, 15 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Meditelecare Of Pennsylvania LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Meditelecare Of Pennsylvania LLC 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.

When was this NPI record last updated?

The NPPES record for Meditelecare Of Pennsylvania LLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.