MICHELLE WILSON CRNP
Complete NPI Record 1649802240
Nurse Practitioner - Family in Harrisburg, PA
Active since February 11, 2020PECOS EnrolledAccepts Medicare Assignment
Complete NPI Dataset
This page contains the complete raw NPPES record for Michelle Wilson, CRNP (NPI 1649802240), an individual nurse practitioner provider in Harrisburg, PA. All 31 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1649802240 Field 1/31
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/31
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: WILSON Field 3/31
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: MICHELLE Field 4/31
- The first name of the provider, if the provider is an individual.
- Provider Credential Text: CRNP Field 5/31
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider Other Last Name: ROUSCHER Field 6/31
- Other last name by which the provider being identified is or has been known.
- Provider Other First Name: MICHELLE Field 7/31
- Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the "Provider first name" if the provider is or has been known by a different last name only.
- Provider Other Last Name Type Code: 1 Field 8/31
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 2310 PATTON RD Field 9/31
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: HARRISBURG Field 10/31
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: PA Field 11/31
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 171129154 Field 12/31
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 13/31
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 7177246500 Field 14/31
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 7177246510 Field 15/31
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 2310 PATTON RD Field 16/31
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: HARRISBURG Field 17/31
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: PA Field 18/31
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 171129154 Field 19/31
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 20/31
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 7177246500 Field 21/31
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 7177246510 Field 22/31
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 25/31
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 363LF0000X Field 26/31
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: SP021455 Field 27/31
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: PA Field 28/31
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 29/31
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N Field 30/31
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 35
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1777 5th Ave
Location 1/35York, PA 17403-2632 · Phone (717) 843-8051 · Fax (717) 846-0721
2350 Freedom Way Ste 150
Location 2/35York, PA 17402-8200 · Phone (717) 851-7315 · Fax (717) 741-3056
10 Muddy Creek Forks Rd Ste 3
Location 3/35Brogue, PA 17309-9400 · Phone (717) 812-5020 · Fax (717) 461-7144
1790 Old Trail Rd Ste A
Location 4/35Etters, PA 17319-9652 · Phone (717) 938-6588 · Fax (717) 938-9601
446 N Reading Rd
Location 5/35Ephrata, PA 17522-9802 · Phone (717) 738-5275 · Fax (717) 738-5278
9 Nathan Ln
Location 6/35Annville, PA 17003-6500 · Phone (717) 639-3350 · Fax (717) 303-3546
100 Eisenhower Dr
Location 7/35Hanover, PA 17331-5241 · Phone (717) 646-4201 · Fax (717) 646-4202
1401 Roosevelt Ave
Location 8/35York, PA 17404-2244 · Phone (717) 812-7000 · Fax (717) 767-8985
755 S Pleasant Ave
Location 9/35Dallastown, PA 17313-9252 · Phone (717) 851-1300
2250 E Market St
Location 10/35York, PA 17402-2857 · Phone (717) 851-1566 · Fax (717) 812-3950
4050 N George Street Ext
Location 11/35Manchester, PA 17345-9347 · Phone (717) 356-4380 · Fax (717) 260-3316
1575 Bannister St Ste 1
Location 12/35York, PA 17404-4946 · Phone (717) 812-2000 · Fax (717) 812-2010
13515 Wolfe Rd Ste C
Location 13/35New Freedom, PA 17349-9346 · Phone (717) 812-2501 · Fax (717) 461-7178
4020 Carlisle Rd
Location 14/35Dover, PA 17315-3508 · Phone (717) 812-4240
46 Walnut Bottom Rd Ste 100
Location 15/35Shippensburg, PA 17257-8219 · Phone (717) 477-2764 · Fax (717) 839-6951
601 E Main St
Location 16/35Waynesboro, PA 17268-2332 · Phone (717) 765-5088 · Fax (717) 857-2515
2149 S Queen St
Location 17/35York, PA 17403-4845 · Phone (717) 356-4460 · Fax (717) 260-3326
24 Antrim Commons Dr
Location 18/35Greencastle, PA 17225-1623 · Phone (717) 593-0512 · Fax (717) 839-6810
1000 Norland Ave
Location 19/35Chambersburg, PA 17201-4229 · Phone (717) 267-6363 · Fax (717) 839-6421
54 S Forrest St
Location 20/35York, PA 17404-5550 · Phone (717) 792-1811
605 S George St Ste 200
Location 21/35York, PA 17401-3161 · Phone (717) 851-2334
96 Sofia Dr Ste 208
Location 22/35Shrewsbury, PA 17361-5201 · Phone (717) 812-2400 · Fax (717) 812-3005
455 S Washington St Ste 12
Location 23/35Gettysburg, PA 17325-2516 · Phone (717) 339-2875 · Fax (717) 334-3921
430 N Main St Ste 4
Location 24/35Spring Grove, PA 17362-1123 · Phone (717) 851-6500
105 4th St # 727
Location 25/35East Berlin, PA 17316-9638 · Phone (717) 812-4900 · Fax (717) 255-0951
3193 Cape Horn Rd
Location 26/35Red Lion, PA 17356-8810 · Phone (717) 812-5888
25 Monument Rd Ste 140
Location 27/35York, PA 17403-5057 · Phone (717) 741-8003 · Fax (717) 461-7404
101 W Airport Rd
Location 28/35Lititz, PA 17543-9274 · Phone (717) 466-2445 · Fax (717) 466-2447
717 Town Center Dr
Location 29/35York, PA 17408-4824 · Phone (717) 356-4240 · Fax (717) 356-4241
2775 N George St
Location 30/35York, PA 17406-3020 · Phone (717) 812-7300 · Fax (717) 845-4625
2003 E Market St
Location 31/35York, PA 17402-2841 · Phone (717) 812-4242 · Fax (717) 755-7569
2003 Springwood Rd
Location 32/35York, PA 17403-4836 · Phone (717) 851-2521 · Fax (717) 260-3330
2050 S Queen St Ste 100
Location 33/35York, PA 17403-4829 · Phone (717) 812-4240 · Fax (717) 848-5520
2339 S George St
Location 34/35York, PA 17403-5009 · Phone (717) 812-3040 · Fax (717) 741-3028
235 Rosedale Dr
Location 35/35Manchester, PA 17345-1022 · Phone (717) 812-5229 · Fax (717) 266-7453
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