LAUREL HEALTH & WELLNESS CENTER
NPI 1609433036
Clinic/Center - Federally Qualified Health Center (FQHC) in Mansfield, PA

Active since May 21, 2019CLIA 39D2170184 · Waiver
40 W WELLSBORO ST, MANSFIELD, PA 16933(570) 662-1948 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 8, 2022, Apr 7, 2021, Nov 16, 2020 and 1 more (4 updates tracked since 2019).

About Laurel Health & Wellness Center NPPES

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

LAUREL HEALTH & WELLNESS CENTER (NPI 1609433036) is a healthcare organization registered as a federally qualified health center (fqhc) in Mansfield, Pennsylvania and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through December 18, 2027 and lists Angela M. Vanzile, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1609433036
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTH PENN COMPREHENSIVE HEALTH SERVICES
Location Address40 W WELLSBORO STMansfield, PA 16933-1411
Mailing Address40 W Wellsboro StMansfield, PA 16933-1411 · (570) 662-1955
Organization SubpartNo
Authorized OfficialAngela M. VanzileCredentialing Coordinator · (570) 662-1945
Enumeration DateMay 21, 2019
Last NPPES UpdateJune 8, 20224 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
✔ NPI 1609433036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedChiropractorTaxonomy 111N00000X
40 W WELLSBORO ST, Mansfield, PA 16933

Other Names 1

Doing Business AsLaurel Health & Wellness Center

Other Identifiers 1

Medicaid1000011720038PA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurel Health & Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

54

Medicare enrollment records show 54 clinicians reassign Medicare billing to Laurel Health & Wellness Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Nurse Practitioner16
Family Practice10
Dentist8
Clinical Social Worker6
Diagnostic Radiology4
Chiropractic2
Internal Medicine2
Mental Health Counselor2
4 other specialties4

Nearest to this location (20)

See all 54
Clinical Psychologist
NPI 1699731711
40 W WELLSBORO ST
Mansfield, PA 16933
(157) 066-2194
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1164845848
40 W WELLSBORO ST
Mansfield, PA 16933
(570) 723-0623
✔ PECOSSame address
Internal Medicine
NPI 1962415067
40 W WELLSBORO ST MANSFIELD LAUREL HEALTH CENTER
Mansfield, PA 16933
(570) 662-2002
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1245270180
40 W WELLSBORO ST
Mansfield, PA 16933
(570) 662-1945
✔ PECOS✔ Accepts MedicareSame address
Chiropractic
NPI 1366454464
40 W WELLSBORO ST
Mansfield, PA 16933
(570) 662-1945
✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1619630928
40 W WELLSBORO ST
Mansfield, PA 16933
(570) 723-0620
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1386351005
416 S MAIN ST
Mansfield, PA 16933
(570) 662-2002
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1396525853
416 S MAIN ST
Mansfield, PA 16933
(570) 662-2002
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1811430994
416 S MAIN ST
Mansfield, PA 16933
(570) 662-2002
✔ PECOS✔ Accepts Medicare0.8 mi
Obstetrics/Gynecology
NPI 1801861489
416 S MAIN ST
Mansfield, PA 16933
(570) 662-2002
✔ PECOS0.8 mi
Chiropractic
NPI 1891105649
416 S MAIN ST
Mansfield, PA 16933
(570) 662-2002
✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1184213597
416 S MAIN ST
Mansfield, PA 16933
(570) 662-2002
✔ PECOS✔ Accepts Medicare0.8 mi
Clinical Social Worker
NPI 1467528810
520 RUAH STREET
Blossburg, PA 16912
(570) 638-1260
✔ PECOS8.1 mi
Clinical Social Worker
NPI 1043092166
105 TAYLOR ST
Blossburg, PA 16912
(814) 331-2106
✔ PECOS✔ Accepts Medicare8.6 mi
Dentist
NPI 1508602368
116 SEYMOUR ST
Blossburg, PA 16912
(570) 638-2174
✔ PECOS8.6 mi
Dentist
NPI 1003136904
116 SEYMOUR ST
Blossburg, PA 16912
(570) 638-3468
✔ PECOS8.6 mi
Nurse Practitioner
NPI 1134199235
6 RIVERSIDE PLZ
Blossburg, PA 16912
(570) 638-2174
✔ PECOS✔ Accepts Medicare8.9 mi
Nurse Practitioner
NPI 1154344257
32 E LAWRENCE RD LAWRENCEVILLE LAUREL HEALTH CENTER
Lawrenceville, PA 16929
(570) 827-0128
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1568194959
32 E LAWRENCE RD
Lawrenceville, PA 16929
(570) 827-0125
✔ PECOS✔ Accepts Medicare11 mi
Dentist
NPI 1093344574
32 E LAWRENCE RD
Lawrenceville, PA 16929
(570) 827-0145
✔ PECOS11 mi
See all 54 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2170184

Laurel Health Wellness Center · Mansfield, PA
Active · expires Dec 18, 2027
CLIA Number39D2170184
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 19, 2025
Certificate Expiration DateDecember 18, 2027
Laboratory DirectorDr. George R. Dy
Laboratory Phone(570) 418-0296
Laboratory LocationLaurel Health Wellness Center40 West Wellsboro Street, Mansfield, PA 16933
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 North Penn Comprehensive Health Services's NPI number?

The NPI number for North Penn Comprehensive Health Services is 1609433036. It was assigned to this organization in the NPPES registry on May 21, 2019. The provider is doing business as Laurel Health & Wellness Center.

Where is North Penn Comprehensive Health Services located?

North Penn Comprehensive Health Services is located at 40 W Wellsboro St, Mansfield, PA 16933. The listed phone number is (570) 662-1948.

What is North Penn Comprehensive Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is North Penn Comprehensive Health Services enrolled in Medicare?

Yes. North Penn Comprehensive Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Penn Comprehensive Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 54 clinicians in 12 Medicare specialties reassign their Medicare billing to North Penn Comprehensive Health Services. 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 (16), Family Practice (10) and Dentist (8). Of these, 4 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Penn Comprehensive Health Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2170184) is associated with this NPI, valid through December 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Penn Comprehensive Health Services accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list North Penn Comprehensive Health Services 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 North Penn Comprehensive Health Services was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.