GETTYSBURG SURGICAL ASSOCIATES
NPI 1669644183
Surgery in Gettysburg, PA

Q: What is Wellspan Medical Group's NPI number?

The NPI number for Wellspan Medical Group is 1669644183. It was assigned to this organization in the NPPES registry on March 25, 2008. The provider is doing business as Gettysburg Surgical Associates.

Q: What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since March 25, 2008

450 S WASHINGTON ST, SUITE C, GETTYSBURG, PA 17325(717) 339-3110(717) 339-3108 Get Directions Write a Review

NPPES record last updated: November 28, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Gettysburg Surgical Associates NPPES

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

GETTYSBURG SURGICAL ASSOCIATES (NPI 1669644183) is a healthcare organization registered as a surgery in Gettysburg, Pennsylvania and active in the NPI registry since March 2008. The organization lists Amy F Wilkinson, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1669644183

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameWELLSPAN MEDICAL GROUP

Location Address450 S WASHINGTON ST, SUITE CGettysburg, PA 17325-2500

Mailing Address1803 Mount Rose Ave, Suite B3York, PA 17403-3026 · (717) 851-1405 · Fax (717) 339-3108

Phone(717) 339-3110

Fax(717) 339-3108

Organization SubpartNo

Authorized OfficialAmy F WilkinsonCredentialing Supervisor · (717) 851-1405

Enumeration DateMarch 25, 2008

Last NPPES UpdateNovember 28, 2014

✔ NPI 1669644183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

450 S WASHINGTON ST, Gettysburg, PA 17325

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Other Names 1

Doing Business AsGettysburg Surgical Associates

Other Identifiers 10

Other20072208PA · Amerihealth Mercy-wmg

Medicare PIN117038FLTPA

Other2016471PA · Highmark Blue Shield

Other232730PA · Unison Wmg

Medicare PIN117038PA

Medicaid100772136PA

Other50075811PA · Capital Blue Cross Wmg

Other1538201PA · Gateway-wmg

Other655TPA · Geisinger

OtherKC94PA · Carefirst Md Bcbs

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)

Gettysburg Surgical Associates 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 Gettysburg Surgical Associates, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 133 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

Lydia Danso, CRNP

Nurse Practitioner

NPI 1235797135

450 S WASHINGTON ST STE A
Gettysburg, PA 17325

(717) 339-3105

✔ PECOS✔ Accepts MedicareSame address

Elizabeth Dicampli, CNM, WHNP, MSN

Certified Nurse Midwife (CNM)

NPI 1477961399

450 S WASHINGTON ST STE B
Gettysburg, PA 17325

(717) 337-4487

✔ PECOS✔ Accepts MedicareSame address

Christina Funkhouser, CRNP

Nurse Practitioner

NPI 1083370696

450 S WASHINGTON ST STE E
Gettysburg, PA 17325

(717) 339-3150

✔ PECOSSame address

Brittany Jackson, MD

Obstetrics/Gynecology

NPI 1104354380

450 S WASHINGTON ST STE B
Gettysburg, PA 17325

(717) 337-4487

✔ PECOS✔ Accepts MedicareSame address

Stephanie Kekulawela, M.D.

General Surgery

NPI 1396979175

450 S WASHINGTON ST FL 3
Gettysburg, PA 17325

(717) 339-3110

✔ PECOS✔ Accepts MedicareSame address

Rajesh Makkenchery, MD

General Surgery

NPI 1104885748

450 S WASHINGTON ST 3RD FLOOR, SUITE C
Gettysburg, PA 17325

(717) 334-8141

✔ PECOS✔ Accepts MedicareSame address

Momina Mastoor, M.D.

Cardiovascular Disease (Cardiology)

NPI 1336119742

450 S WASHINGTON ST STE A
Gettysburg, PA 17325

(717) 339-3105

✔ PECOS✔ Accepts MedicareSame address

Asif Quyyum, D.O.

Colorectal Surgery (Proctology)

NPI 1265792469

450 S WASHINGTON ST FL 3
Gettysburg, PA 17325

(717) 339-3110

✔ PECOS✔ Accepts MedicareSame address

Maureen Roye, CNM

Certified Nurse Midwife (CNM)

NPI 1518740513

450 S WASHINGTON ST STE B
Gettysburg, PA 17325

(717) 337-4487

✔ PECOS✔ Accepts MedicareSame address

Theresa Acquaah, M.D.

Obstetrics/Gynecology

NPI 1336338532

450 S WASHINGTON ST SUITE B
Gettysburg, PA 17325

(717) 337-4487

✔ PECOS✔ Accepts MedicareSame address

Allison Brown

Nurse Practitioner

NPI 1487300695

450 S WASHINGTON ST
Gettysburg, PA 17325

(717) 339-3105

✔ PECOS✔ Accepts MedicareSame address

David Doud, D.O.

General Surgery

NPI 1609988039

450 S WASHINGTON ST 3RD FLOOR SUITE C
Gettysburg, PA 17325

(717) 339-3110

✔ PECOS✔ Accepts MedicareSame address

Peter Lund, MD

Urology

NPI 1407881899

450 S WASHINGTON ST
Gettysburg, PA 17325

(717) 339-3150

✔ PECOS✔ Accepts MedicareSame address

Timothy Mckee, MD

General Surgery

NPI 1275643843

450 S WASHINGTON ST 3RD FLOOR SUITE C
Gettysburg, PA 17325

(717) 334-8141

✔ PECOS✔ Accepts MedicareSame address

Daneisha Mcquay, RN

Nurse Practitioner

NPI 1386514404

450 S WASHINGTON ST STE B
Gettysburg, PA 17325

(717) 337-4325

✔ PECOS✔ Accepts MedicareSame address

Damara Van Irvin, CNM

Certified Nurse Midwife (CNM)

NPI 1043545213

450 S WASHINGTON ST STE B
Gettysburg, PA 17325

(717) 337-4487

✔ PECOS✔ Accepts MedicareSame address

Tasneem Ahmed, MD

Obstetrics/Gynecology

NPI 1194909184

450 S WASHINGTON ST STE B
Gettysburg, PA 17325

(717) 337-4487

✔ PECOS✔ Accepts MedicareSame address

William Daiber

Urology

NPI 1962499632

450 S WASHINGTON ST SUITE E
Gettysburg, PA 17325

(717) 339-3150

✔ PECOS✔ Accepts MedicareSame address

George Logothetis, M.D.

Cardiovascular Disease (Cardiology)

NPI 1619966223

450 S WASHINGTON ST STE A
Gettysburg, PA 17325

(717) 339-3105

✔ PECOS✔ Accepts MedicareSame address

Nancy Reinhart, CNM

Certified Nurse Midwife (CNM)

NPI 1548889306

450 S WASHINGTON ST STE B
Gettysburg, PA 17325

(717) 337-4487

✔ PECOS✔ Accepts MedicareSame address

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 1669644183. It was assigned to this organization in the NPPES registry on March 25, 2008. The provider is doing business as Gettysburg Surgical Associates.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 450 S Washington St Suite C, Gettysburg, PA 17325. The listed phone number is (717) 339-3110.

What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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, 22 practice at this address and 133 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 November 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.