WELLSPAN MEDICAL GROUP
NPI 1639767759
Internal Medicine in York, PA

Active since January 05, 2021
1777 5TH AVE, YORK, PA 17403(717) 843-7780(717) 848-2578 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wellspan Medical Group NPPES

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

WELLSPAN MEDICAL GROUP (NPI 1639767759), doing business as Wellspan Internal Medicine - 5th Avenue, is a healthcare organization registered as an internal medicine in York, Pennsylvania and active in the NPI registry since January 2021. The organization lists Laura Frank, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1639767759
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address1777 5TH AVEYork, PA 17403-2632
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 851-1405 · Fax (717) 851-6969
Fax(717) 848-2578
Organization SubpartNo
Authorized OfficialLaura FrankCredentialing Supervisor · (717) 851-6832
Enumeration DateJanuary 5, 2021
NPPES CertifiedDecember 28, 2020
✔ NPI 1639767759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
1777 5TH AVE, York, PA 17403

Other Names 1

Doing Business AsWellspan Internal Medicine - 5th Avenue

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 MULTIPLE 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 Medical Group 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 Medical Group, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 971 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
Internal Medicine
NPI 1679549901
1777 5TH AVE
York, PA 17403
(717) 843-8051
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407495872
1777 5TH AVE
York, PA 17403
(717) 843-8051
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497189500
1777 5TH AVE
York, PA 17403
(717) 843-8051
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477070316
1777 5TH AVE
York, PA 17403
(717) 843-8051
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649148768
1777 5TH AVE
York, PA 17403
(717) 843-8051
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033131867
1777 5TH AVE
York, PA 17403
(717) 843-8051
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1548245376
1777 5TH AVE
York, PA 17403
(717) 843-8051
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1053570531
1777 5TH AVE
York, PA 17403
(717) 843-8051
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1619113628
1777 5TH AVE
York, PA 17403
(717) 843-8051
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1225698970
1777 5TH AVE
York, PA 17403
(717) 843-8051
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1437230737
1784 4TH AVE
York, PA 17403
(717) 849-5465
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1821753237
1600 6TH AVE STE 115
York, PA 17403
(717) 849-2804
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1114184736
2003 E MARKET ST
York, PA 17402
(717) 812-4242
✔ PECOS0.5 mi
Pediatric Medicine
NPI 1245641620
2003 E MARKET ST
York, PA 17402
(717) 812-4242
✔ PECOS0.5 mi
Pediatric Medicine
NPI 1336147396
2003 E MARKET ST
York, PA 17402
(717) 812-4242
✔ PECOS0.5 mi
Family Practice
NPI 1023078326
2251 EASTERN BLVD
York, PA 17402
(717) 840-2730
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1194536052
2250 E MARKET ST
York, PA 17402
(717) 851-1600
✔ PECOS0.6 mi
Orthopedic Surgery
NPI 1568454718
2250 E MARKET ST
York, PA 17402
(717) 812-6670
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1023030855
2250 E MARKET ST
York, PA 17402
(717) 851-1566
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1275083115
2250 E MARKET ST
York, PA 17402
(717) 851-1566
✔ PECOS0.6 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 1639767759. It was assigned to this organization in the NPPES registry on January 5, 2021. The provider is doing business as WellSpan Internal Medicine - 5th Avenue.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 1777 5th Ave, York, PA 17403. The listed phone number is (717) 843-7780.

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, 10 practice at this address and 971 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 January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.