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PENN STATE HEALTH MEDICAL GROUP, LLC
NPI 1457110793
Family Medicine in Hershey, PA

Active since March 18, 2024
100 CRYSTAL A DR, HERSHEY, PA 17033(833) 774-3627 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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 1457110793) is a healthcare organization registered as a family medicine in Hershey, Pennsylvania and active in the NPI registry since March 2024. The organization lists Tracy L Moyer-swinko, Executive Vice President/cfo, as its authorized official.

NPPES Registry Identity

NPI1457110793
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePENN STATE HEALTH MEDICAL GROUP, LLC
Location Address100 CRYSTAL A DRHershey, PA 17033-9524
Mailing AddressPo Box 825972Philadelphia, PA 19182-5972 · (717) 531-4859 · Fax (717) 312-3104
Phone(833) 774-3627
Organization SubpartYesParent: Penn State Health
Authorized OfficialTracy L Moyer-swinkoExecutive Vice President/cfo · (717) 531-8477
Enumeration DateMarch 18, 2024
Last NPPES UpdateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
✔ NPI 1457110793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
100 CRYSTAL A DR, Hershey, PA 17033
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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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM P NASUTI DO
Family Medicine
100 CRYSTAL A DR
HERSHEY, PA 17033
Dauphin County (833) 774-2676
AMBER ELIZABETH THOMAS CRNP
Nurse Practitioner
100 CRYSTAL A DR
HERSHEY, PA 17033
Dauphin County (833) 774-2676
THERESA MARGUERITE WOTRING CRNP
Nurse Practitioner (Family)
100 CRYSTAL A DR
HERSHEY, PA 17033
Dauphin County (800) 243-1455

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 1457110793. It was assigned to this organization in the NPPES registry on March 18, 2024.

Where is Penn State Health Medical Group, LLC located?

Penn State Health Medical Group, LLC is located at 100 Crystal A Dr, Hershey, PA 17033. The listed phone number is (833) 774-3627.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 6 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.