Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NOAH L MABRY CRNP
NPI 1649822966
Nurse Practitioner - Primary Care in York, PA

Active since July 16, 2019PECOS EnrolledAccepts Medicare Assignment
1401 ROOSEVELT AVE, YORK, PA 17404(717) 356-6250 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2026, Sep 17, 2025, Jun 10, 2025 and 3 more (6 updates tracked since 2019).

About Noah L Mabry Crnp NPPES

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

NOAH L MABRY CRNP (NPI 1649822966) is an individual primary care provider in York, Pennsylvania, licensed in Pennsylvania (SP020516) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 19 additional practice locations.

NPPES Registry Identity

NPI1649822966
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameNOAH L MABRYCredential: CRNP
Location Address1401 ROOSEVELT AVEYork, PA 17404-2244
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 16, 2019
Last NPPES UpdateJune 22, 20266 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
NPI 1649822966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in PA · SP020516
Also ListedRegistered NurseTaxonomy 163W00000X · License RN665722 (PA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP020516 (PA)
1401 ROOSEVELT AVE, York, PA 17404

Secondary Practice Locations 19

Location 130 N 4th StLebanon, PA 17046-5606 · Phone (717) 274-0474 · Fax (717) 270-2374
Location 27055 Westbranch HwyLewisburg, PA 17837-6808 · Phone (570) 524-4141 · Fax (570) 524-5218
Location 31790 Old Trail RdEtters, PA 17319-9600 · Phone (717) 938-6588 · Fax (717) 938-6588
Location 42060 Carlisle RdAspers, PA 17304-9707 · Phone (717) 339-2585 · Fax (717) 677-4781
Location 51135 Georgetown Rd Unit 201Christiana, PA 17509-9543 · Phone (717) 466-2462 · Fax (717) 798-8433
Location 613515 Wolfe Rd Ste CNew Freedom, PA 17349-9346 · Phone (717) 812-2501 · Fax (717) 461-7178
Location 746 Walnut Bottom Rd Ste 200Shippensburg, PA 17257-8219 · Phone (717) 532-4148 · Fax (717) 255-0091
Location 8935 Route 522Selinsgrove, PA 17870-9714 · Phone (570) 372-6102 · Fax (570) 372-6110
Location 9964 Carpenter RdMilton, PA 17847-7527 · Phone (570) 742-2300 · Fax (570) 742-6276
Location 10100 Frederick StHanover, PA 17331-3518 · Phone (717) 851-7050 · Fax (717) 632-7478
Location 113193 Cape Horn RdRed Lion, PA 17356-8810 · Phone (717) 812-5888 · Fax (717) 741-3709
Location 12300 W King St Ste CLittlestown, PA 17340-1446 · Phone (717) 339-2390 · Fax (717) 359-4178
Location 13354 Alexander Spring Rd Ste 3Carlisle, PA 17015-7451 · Phone (717) 477-2764 · Fax (717) 839-2772
Location 1430 W Swartzville RdReinholds, PA 17569-9641 · Phone (717) 484-4347 · Fax (717) 484-0968
Location 15101 Fairview CirLebanon, PA 17042-9581 · Phone (717) 279-7303 · Fax (717) 279-7471
Location 167095 Westbranch Hwy Ste 1100Lewisburg, PA 17837-6864 · Phone (570) 524-5050 · Fax (570) 524-5250
Location 1722 St Paul DrChambersburg, PA 17201-1036 · Phone (717) 264-6511
Location 18105 4th St # 727East Berlin, PA 17316-9638 · Phone (717) 812-4900 · Fax (717) 255-0951
Location 192 Keefer DrMercersburg, PA 17236-1732 · Phone (717) 328-2119 · Fax (717) 328-0071

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Noah L Mabry Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002147949
PECOS Enrollment IDI20191008002177
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
132 services103 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390151
Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$2.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1401 ROOSEVELT AVE
YORK, PA 17404
Nurse Practitioner (Family)
1401 ROOSEVELT AVE
YORK, PA 17404
Nurse Practitioner (Family)
1401 ROOSEVELT AVE
YORK, PA 17404
Nurse Practitioner (Family)
1401 ROOSEVELT AVE
YORK, PA 17404
Family Medicine
1401 ROOSEVELT AVE
YORK, PA 17404
Family Medicine
1401 ROOSEVELT AVE
YORK, PA 17404
Nurse Practitioner (Family)
1401 ROOSEVELT AVE
YORK, PA 17404
Nurse Practitioner (Family)
1401 ROOSEVELT AVE
YORK, PA 17404

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 Noah Mabry's NPI number?

The NPI number for Noah Mabry is 1649822966. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Where is Noah Mabry located?

Noah Mabry practices at 1401 Roosevelt Ave, York, PA 17404. The listed phone number is (717) 356-6250.

What is Noah Mabry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Noah Mabry enrolled in Medicare?

Yes. Noah Mabry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Noah Mabry affiliated with any hospitals?

According to CMS data, Noah Mabry is affiliated with Wellspan York Hospital, Gettysburg Hospital, Wellspan Good Samaritan Hospital and Wellspan Chambersburg Hospital.

When was this NPI record last updated?

The NPPES record for Noah Mabry was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.