DYSAUTONOMIA MANAGEMENT CENTER
NPI 1407795677
Nurse Practitioner - Family in Stewartstown, PA
About Dysautonomia Management Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DYSAUTONOMIA MANAGEMENT CENTER (NPI 1407795677) is a healthcare organization registered as a family in Stewartstown, Pennsylvania and active in the NPI registry since March 2026. The organization lists Elizabeth Clark, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dysautonomia Management Center 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 Dysautonomia Management Center, 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.
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 Dysautonomia Management Center's NPI number?
The NPI number for Dysautonomia Management Center is 1407795677. It was assigned to this organization in the NPPES registry on March 25, 2026.
Where is Dysautonomia Management Center located?
Dysautonomia Management Center is located at 200 Bailey Dr Ste 201B, Stewartstown, PA 17363. The listed phone number is (443) 692-7991.
What is Dysautonomia Management Center's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dysautonomia Management Center enrolled in Medicare?
Yes. Dysautonomia Management Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dysautonomia Management Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Dysautonomia Management Center. 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.
When was this NPI record last updated?
The NPPES record for Dysautonomia Management Center was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dysautonomia Management Center · NPI 1407795677
Family organization in Stewartstown, Pennsylvania. Organization record, active in the CMS NPPES registry since March 25, 2026.
## Identity
- **NPI:** 1407795677 (Entity type: Organization)
- **Enumerated:** March 25, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Elizabeth Clark, OWNER
## Practice location
- **Address:** 200 BAILEY DR STE 201B, Stewartstown, PA 17363-8399
- **Phone:** (443) 692-7991
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407795677) · Data from the CMS NPPES public registry.