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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: October 25, 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

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, 3 practice at this address and 195 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
Theresa Wotring, CRNP
Nurse Practitioner
NPI 1881021442
100 CRYSTAL A DR
Hershey, PA 17033
(800) 243-1455
✔ PECOS✔ Accepts MedicareSame address
William Nasuti, DO
Family Practice
NPI 1194786939
100 CRYSTAL A DR
Hershey, PA 17033
(833) 774-2676
✔ PECOS✔ Accepts MedicareSame address
Amber Thomas, CRNP
Nurse Practitioner
NPI 1770133472
100 CRYSTAL A DR
Hershey, PA 17033
(833) 774-2676
✔ PECOSSame address
Kelli Diodato
Certified Nurse Midwife (CNM)
NPI 1811548506
35 HOPE DRIVE SUITE 202/204
Hershey, PA 17033
(717) 531-3503
✔ PECOS✔ Accepts Medicare0.7 mi
Dorinda Jackson
Nurse Practitioner
NPI 1083179782
35 HOPE DR STE 202204
Hershey, PA 17033
(717) 315-3503
✔ PECOS✔ Accepts Medicare0.7 mi
Claudia Kasales, MD
Diagnostic Radiology
NPI 1376537571
30 HOPE DR
Hershey, PA 17033
(800) 243-1455
✔ PECOS✔ Accepts Medicare0.7 mi
Kelley Adiletta, MD
Pediatric Medicine
NPI 1548823982
35 HOPE DR STE 102104
Hershey, PA 17033
(717) 531-8550
✔ PECOS0.8 mi
Sarah Horvath, MD
Obstetrics/Gynecology
NPI 1659639698
35 HOPE DRIVE SUITES 202 AND 204
Hershey, PA 17033
(717) 531-3503
✔ PECOS✔ Accepts Medicare0.8 mi
Venkata Jakkampudi, M.D.
Neurology
NPI 1396754701
30 HOPE DR STE 1300
Hershey, PA 17033
(717) 531-3828
✔ PECOS✔ Accepts Medicare0.9 mi
Destrie Kramer, CRNP
Nurse Practitioner
NPI 1316675671
1120 COCOA AVE
Hershey, PA 17033
(717) 533-4141
✔ PECOS✔ Accepts Medicare2.2 mi
Yena Yoo, D.O.
Family Practice
NPI 1376280495
1120 COCOA AVE
Hershey, PA 17033
(717) 533-4141
✔ PECOS✔ Accepts Medicare2.2 mi
Julie Machado, MD
Internal Medicine
NPI 1992063614
1120 COCOA AVE
Hershey, PA 17033
(717) 531-0003
✔ PECOS✔ Accepts Medicare2.2 mi
Christina Deangelis, M.D.
Obstetrics/Gynecology
NPI 1447201231
35 HOPE DR
Hershey, PA 17033
(717) 531-3503
✔ PECOS✔ Accepts Medicare2.3 mi
Ian Paul, MD
Pediatric Medicine
NPI 1275585515
35 HOPE DR SUITE 102
Hershey, PA 17033
(717) 531-7300
✔ PECOS2.3 mi
Margaret Adejolu, MD
Diagnostic Radiology
NPI 1912550724
500 UNIVERSITY DR
Hershey, PA 17033
(717) 531-4935
✔ PECOS✔ Accepts Medicare2.5 mi
Gary Aghazarian, D.O.
General Surgery
NPI 1235513383
500 UNIVERSITY DR
Hershey, PA 17033
(717) 531-8887
✔ PECOS✔ Accepts Medicare2.5 mi
Arjun Agrawal, MD
Emergency Medicine
NPI 1811457823
500 UNIVERSITY DR
Hershey, PA 17033
(717) 531-0000
✔ PECOS✔ Accepts Medicare2.5 mi
Ravi Athwani, M.D
Hospitalist
NPI 1154728715
500 UNIVERSITY DR
Hershey, PA 17033
(717) 531-8521
✔ PECOS✔ Accepts Medicare2.5 mi
Louis Borgatta, DO
Cardiovascular Disease (Cardiology)
NPI 1164982476
500 UNIVERSITY DR
Hershey, PA 17033
(484) 332-0078
✔ PECOS2.5 mi
Todd Cartee, M.D.
Dermatology
NPI 1821273236
500 UNIVERSITY DR
Hershey, PA 17033
(800) 243-1455
✔ PECOS✔ Accepts Medicare2.5 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 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.

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, 3 practice at this address and 195 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.