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WELLSPAN FAMILY MEDICINE - GRANITE RUN
NPI 1619427101
Family Medicine in Lancaster, PA

Active since October 07, 2016
264 GRANITE RUN DR, LANCASTER, PA 17601(717) 721-8205(717) 721-8251 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wellspan Family Medicine - Granite Run NPPES

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

WELLSPAN FAMILY MEDICINE - GRANITE RUN (NPI 1619427101) is a healthcare organization registered as a family medicine in Lancaster, Pennsylvania and active in the NPI registry since October 2016. The organization lists Christina Moon, Supervisor-verification Services, as its authorized official.

NPPES Registry Identity

NPI1619427101
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address264 GRANITE RUN DRLancaster, PA 17601-6804
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 721-8205
Fax(717) 721-8251
Organization SubpartNo
Authorized OfficialChristina MoonSupervisor-verification Services · (717) 851-1405
Enumeration DateOctober 7, 2016
✔ NPI 1619427101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
264 GRANITE RUN DR, Lancaster, PA 17601
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Other Names 1

Doing Business AsWellspan Family Medicine - Granite Run

Other Identifiers 1

Medicare PIN117038FLTPA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Wellspan Family Medicine - Granite Run is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,072

Medicare enrollment records show 3,072 clinicians reassign Medicare billing to Wellspan Family Medicine - Granite Run, which bills Medicare for the services they deliver. Of these, 104 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 65

Nurse Practitioner658
Certified Registered Nurse Anesthetist (CRNA)284
Family Practice275
Hospitalist205
Internal Medicine138
Obstetrics/Gynecology123
Anesthesiology107
Neurology100
57 other specialties1,182

Nearest to this location (20)

See all 3,072
Jennifer Brighter, M.D.
Family Practice
NPI 1760455638
264 GRANITE RUN DR
Lancaster, PA 17601
(717) 721-8205
✔ PECOS✔ Accepts Medicare0.2 mi
James Elia, M.D.
Family Practice
NPI 1154480671
264 GRANITE RUN DR
Lancaster, PA 17601
(717) 721-8205
✔ PECOS✔ Accepts Medicare0.2 mi
Casey Kiser, M.D.
Orthopedic Surgery
NPI 1174889687
266 GRANITE RUN DR STE 266
Lancaster, PA 17601
(717) 466-2640
✔ PECOS✔ Accepts Medicare0.3 mi
Darshan Shah, MD
Orthopedic Surgery
NPI 1710347588
266 GRANITE RUN DR STE 266
Lancaster, PA 17601
(717) 466-2640
✔ PECOS✔ Accepts Medicare0.3 mi
Florence Othieno, M.D.
Otolaryngology
NPI 1538541206
810 PLAZA BLVD
Lancaster, PA 17601
(173) 945-0887
✔ PECOS✔ Accepts Medicare0.5 mi
Ewain Wilson, M.D.
Otolaryngology
NPI 1558462937
810 PLAZA BLVD
Lancaster, PA 17601
(717) 394-5088
✔ PECOS✔ Accepts Medicare0.5 mi
Amanda Arnold, AU.D.
Qualified Audiologist
NPI 1760977409
810 PLAZA BLVD
Lancaster, PA 17601
(717) 735-1463
✔ Accepts Medicare0.5 mi
Steven Dorf, D.O.
Otolaryngology
NPI 1518064310
810 PLAZA BLVD
Lancaster, PA 17601
(717) 394-5088
✔ PECOS✔ Accepts Medicare0.5 mi
John Miller, M.D.
Otolaryngology
NPI 1881794311
810 PLAZA BLVD
Lancaster, PA 17601
(717) 394-5088
✔ PECOS✔ Accepts Medicare0.5 mi
Tami Shea, AUD
Qualified Audiologist
NPI 1356678460
810 PLAZA BLVD
Lancaster, PA 17601
(717) 735-1463
✔ Accepts Medicare0.5 mi
Jessica Krebs, MD
Obstetrics/Gynecology
NPI 1356305858
694 GOOD DR SUITE 203
Lancaster, PA 17601
(717) 544-3788
✔ PECOS✔ Accepts Medicare1.2 mi
Rebecca Dithridge, FNP
Nurse Practitioner
NPI 1881740041
690 GOOD DR
Lancaster, PA 17601
(717) 544-0700
✔ PECOS✔ Accepts Medicare1.2 mi
Jesse Goddard, M.D.
General Surgery
NPI 1093917221
2106 HARRISBURG PIKE STE 310
Lancaster, PA 17601
(717) 544-5945
✔ PECOS✔ Accepts Medicare1.3 mi
Kishor Singapuri, MD
Radiation Oncology
NPI 1336127018
2102 HARRISBURG PIKE
Lancaster, PA 17601
(717) 544-3113
✔ PECOS✔ Accepts Medicare1.3 mi
Peter Eaton, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1134192933
2112 HARRISBURG PIKE SUITE 323
Lancaster, PA 17601
(717) 544-3500
✔ Accepts Medicare1.4 mi
Melissa Morgan, DO
Gastroenterology
NPI 1407183726
2112 HARRISBURG PIKE SUITE 202
Lancaster, PA 17601
(717) 544-3500
✔ PECOS✔ Accepts Medicare1.4 mi
Bronwyn Wilke, DPM
Podiatry
NPI 1841277761
2112 HARRISBURG PIKE SUITE 321
Lancaster, PA 17601
(717) 757-3537
✔ PECOS✔ Accepts Medicare1.4 mi
Jens Witsch, M.D.
Neurology
NPI 1649621269
2150 HARRISBURG PIKE SUITE 200A
Lancaster, PA 17601
(717) 396-9167
✔ PECOS✔ Accepts Medicare1.5 mi
Michael Fueyo, MD
Psychiatry
NPI 1942235049
1886 ROHRERSTOWN RD
Lancaster, PA 17601
(717) 735-1920
✔ PECOS✔ Accepts Medicare1.5 mi
Jon Hernandez, M.D.
Orthopedic Surgery
NPI 1871591198
35 ERICK RD
Lancaster, PA 17601
(717) 466-2451
✔ PECOS✔ Accepts Medicare1.5 mi
See all 3,072 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 Wellspan Medical Group's NPI number?

The NPI number for Wellspan Medical Group is 1619427101. It was assigned to this organization in the NPPES registry on October 7, 2016. The provider is doing business as Wellspan Family Medicine - Granite Run.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 264 Granite Run Dr, Lancaster, PA 17601. The listed phone number is (717) 721-8205.

What is Wellspan Medical Group's specialty?

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

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, 104 practice 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 Wellspan Medical Group was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.