WELLSPAN INTERNAL MEDICINE - DOVER
NPI 1619044880
Internal Medicine in Dover, PA
About Wellspan Internal Medicine - Dover NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLSPAN INTERNAL MEDICINE - DOVER (NPI 1619044880) is a healthcare organization registered as an internal medicine in Dover, Pennsylvania and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 20, 2027 and lists Christina Vest, Credentialing Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 13
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)
Wellspan Internal Medicine - Dover is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3,072Medicare enrollment records show 3,072 clinicians reassign Medicare billing to Wellspan Internal Medicine - Dover, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 946 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 65
Nearest to this location (20)
See all 3,072Source: 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 39D0886975
Wellspan Pediatric Medicine Dover · Dover, PAFrequently 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 Wellspan Medical Group's NPI number?
The NPI number for Wellspan Medical Group is 1619044880. It was assigned to this organization in the NPPES registry on November 30, 2006. The provider is doing business as Wellspan Internal Medicine - Dover.
Where is Wellspan Medical Group located?
Wellspan Medical Group is located at 4020 Carlisle Rd, Dover, PA 17315. The listed phone number is (717) 851-6400.
What is Wellspan Medical Group's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Wellspan Medical Group enrolled in Medicare?
Yes. Wellspan Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellspan Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 3,072 clinicians in 65 Medicare specialties reassign their Medicare billing to Wellspan Medical Group. 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 (658), Certified Registered Nurse Anesthetist (CRNA) (284) and Family Practice (275). Of these, 4 practice at this address and 946 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wellspan Medical Group hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D0886975) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Wellspan Medical Group was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Wellspan Internal Medicine - Dover · NPI 1619044880
Internal Medicine organization in Dover, Pennsylvania. Organization record, active in the CMS NPPES registry since November 30, 2006.
## Identity
- **NPI:** 1619044880 (Entity type: Organization)
- **Enumerated:** November 30, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Wellspan Medical Group
- **Organization subpart:** No
- **Authorized official:** Christina Vest, CREDENTIALING SUPERVISOR
## Practice location
- **Address:** 4020 CARLISLE RD, Dover, PA 17315-3508
- **Phone:** (717) 851-6400 · **Fax:** (717) 851-6410
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3,072 clinicians in 65 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (658), Certified Registered Nurse Anesthetist (CRNA) (284), Family Practice (275); 4 practice at this address and 946 within 10 miles; [full list](https://npiprofile.com/npi/1619044880/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2018
- **Other identifiers:** Other =========048 (PA); Other S1EQ (PA); Medicaid 1007721360106 (PA); and 10 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619044880) · Data from the CMS NPPES public registry.