PENN STATE HEALTH MEDICAL GROUP, LLC
NPI 1407500143
Dermatology in Camp Hill, PA

Q: What is Penn State Health Medical Group, LLC's NPI number?

The NPI number for Penn State Health Medical Group, LLC is 1407500143. It was assigned to this organization in the NPPES registry on February 11, 2022.

Q: What is Penn State Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since February 11, 2022

890 POPLAR CHURCH RD STE 210, CAMP HILL, PA 17011(717) 724-6320(717) 312-3125 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2026, Aug 11, 2025, Sep 19, 2024 and 3 more (6 updates tracked since 2022).

On this page

About Penn State Health Medical Group, Llc NPPES

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

PENN STATE HEALTH MEDICAL GROUP, LLC (NPI 1407500143) is a healthcare organization registered as a dermatology in Camp Hill, Pennsylvania and active in the NPI registry since February 2022. The organization maintains 8 additional practice locations and lists Tracy L Moyer-swinko, Vp/chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1407500143

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NamePENN STATE HEALTH MEDICAL GROUP, LLC

Location Address890 POPLAR CHURCH RD STE 210Camp Hill, PA 17011-2250

Mailing AddressPo Box 825972Philadelphia, PA 19182-5972 · (717) 531-4859 · Fax (717) 312-3104

Phone(717) 724-6320

Fax(717) 312-3125

Organization SubpartYesParent: Penn State Health

Authorized OfficialTracy L Moyer-swinkoVp/chief Financial Officer · (717) 531-8477

Enumeration DateFebruary 11, 2022

Last NPPES UpdateFebruary 3, 20266 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1407500143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedSurgeryTaxonomy 208600000X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedAudiologistTaxonomy 231H00000X

890 POPLAR CHURCH RD STE 210, Camp Hill, PA 17011

Open in Google Maps ↗

Secondary Practice Locations 8

Location 12494 Bernville Rd Ste 201Reading, PA 19605-9468 · Phone (610) 378-2779 · Fax (610) 378-2778

Location 2550 N 12th St Ste 140Lemoyne, PA 17043-1242 · Phone (717) 975-8585 · Fax (717) 975-0670

Location 3890 Poplar Church Rd Ste 108Camp Hill, PA 17011-2250 · Phone (717) 972-7120 · Fax (717) 972-7121

Location 4890 Poplar Church Rd Ste 503Camp Hill, PA 17011-2200 · Phone (717) 972-4215 · Fax (717) 972-4216

Location 5425 N 21st St Ste 101Camp Hill, PA 17011-2223 · Phone (717) 972-4250 · Fax (717) 972-4249

Location 62607 Keiser BlvdWyomissing, PA 19610-3326 · Phone (610) 743-3139 · Fax (610) 678-5608

Location 72135 Noll Dr Ste DLancaster, PA 17603-7602 · Phone (223) 202-7000 · Fax (717) 312-3138

Location 82221 Noll Dr Ste 2000Lancaster, PA 17603-7614 · Phone (717) 327-4694 · Fax (717) 723-4364

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)

Penn State Health Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

992

Medicare enrollment records show 992 clinicians reassign Medicare billing to Penn State Health Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 257 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 42

Nurse Practitioner213

Diagnostic Radiology93

Internal Medicine90

Family Practice77

Certified Registered Nurse Anesthetist (CRNA)74

Hospitalist55

Emergency Medicine53

Neurology43

34 other specialties294

Nearest to this location (20)

See all 992

Stacey Bradney, CRNP

Nurse Practitioner

NPI 1902677958

890 POPLAR CHURCH ROAD SUITE 100
Camp Hill, PA 17011

(717) 737-3465

✔ PECOS✔ Accepts MedicareSame address

Elisabeth Cate-Freeman, CRNP

Nurse Practitioner

NPI 1396404851

890 POPLAR CHURCH RD STE 503
Camp Hill, PA 17011

(717) 972-4215

✔ PECOS✔ Accepts MedicareSame address

Dale Dangleben, MD

General Surgery

NPI 1730138256

890 POPLAR CHURCH RD
Camp Hill, PA 17011

(717) 761-7244

✔ PECOS✔ Accepts MedicareSame address

J Bret Delone, MD

General Surgery

NPI 1922095991

890 POPLAR CHURCH ROAD SUITE 210
Camp Hill, PA 17011

(717) 761-7244

✔ PECOSSame address

Greg Ehgartner, D.O.

Internal Medicine

NPI 1346230158

890 POPLAR CHURCH RD SUITE 508
Camp Hill, PA 17011

(717) 761-3875

✔ PECOS✔ Accepts MedicareSame address

Hope Khanna, CRNP

Nurse Practitioner

NPI 1871470229

890 POPLAR CHURCH RD
Camp Hill, PA 17011

(717) 972-7120

✔ PECOS✔ Accepts MedicareSame address

Christine Myers, CRNP

Nurse Practitioner

NPI 1578581872

890 POPLAR CHURCH RD SUITE 503
Camp Hill, PA 17011

(717) 972-7120

✔ PECOS✔ Accepts MedicareSame address

Suzanne Nesmith, NP-C

Nurse Practitioner

NPI 1669806451

890 POPLAR CHURCH RD SUITE 503
Camp Hill, PA 17011

(717) 972-7120

✔ PECOS✔ Accepts MedicareSame address

Tanteria Randolph, FNP-BC

Nurse Practitioner

NPI 1326501883

890 POPLAR CHURCH RD STE 100
Camp Hill, PA 17011

(717) 737-3465

✔ PECOS✔ Accepts MedicareSame address

Dawn Smith, CRNP

Nurse Practitioner

NPI 1023670007

890 POPLAR CHURCH RD STE 503
Camp Hill, PA 17011

(717) 972-7120

✔ PECOS✔ Accepts MedicareSame address

Amy Ziegler

Nurse Practitioner

NPI 1629529722

890 POPLAR CHURCH RD
Camp Hill, PA 17011

(717) 737-3465

✔ PECOS✔ Accepts MedicareSame address

Scott Smallwood, CRNP

Nurse Practitioner

NPI 1821564675

897 POPLAR CHURCH RD
Camp Hill, PA 17011

(717) 857-0010

✔ PECOS✔ Accepts Medicare0.1 mi

Brian Guise, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1972528487

899 POPLAR CHURCH RD
Camp Hill, PA 17011

(717) 763-0430

✔ Accepts Medicare0.1 mi

Chandrasekhar Dinasarapu, MD

Internal Medicine

NPI 1134360688

503 N. 21ST STREET
Camp Hill, PA 17011

(717) 972-4448

✔ PECOS✔ Accepts Medicare0.1 mi

Shane Appel, M.D.

Emergency Medicine

NPI 1861924177

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4301

✔ PECOS✔ Accepts Medicare0.1 mi

Shante Bennett, MD

Diagnostic Radiology

NPI 1396081857

503 NORTH 21ST ST
Camp Hill, PA 17011

(717) 972-4379

✔ PECOS✔ Accepts Medicare0.1 mi

Arlene Bobonich, MD

Hospice/Palliative Care

NPI 1669408035

503 NORTH 21ST ST.
Camp Hill, PA 17110

(717) 763-2100

✔ PECOS✔ Accepts Medicare0.1 mi

Paul Brettschneider, MD

Psychiatry

NPI 1518919570

503 N 21ST ST
Camp Hill, PA 17011

(717) 763-2376

✔ PECOS✔ Accepts Medicare0.1 mi

Nirali Dani, MD

Hospitalist

NPI 1265796593

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4448

✔ PECOS✔ Accepts Medicare0.1 mi

Jaime Herrera Caceres, MD, MSC

Urology

NPI 1457022766

503 N 21ST ST
Camp Hill, PA 17011

(717) 763-2100

✔ PECOS✔ Accepts Medicare0.1 mi

See all 992 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 Penn State Health Medical Group, LLC's NPI number?

The NPI number for Penn State Health Medical Group, LLC is 1407500143. It was assigned to this organization in the NPPES registry on February 11, 2022.

Where is Penn State Health Medical Group, LLC located?

Penn State Health Medical Group, LLC is located at 890 Poplar Church Rd Ste 210, Camp Hill, PA 17011. The listed phone number is (717) 724-6320.

What is Penn State Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Penn State Health Medical Group, LLC enrolled in Medicare?

Yes. Penn State Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Penn State Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 992 clinicians in 42 Medicare specialties reassign their Medicare billing to Penn State Health Medical Group, 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 (213), Diagnostic Radiology (93) and Internal Medicine (90). Of these, 11 practice at this address and 257 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 Penn State Health Medical Group, LLC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.