PENN STATE HEALTH MEDICAL GROUP, LLC
NPI 1699420273
Emergency Medicine in Camp Hill, PA

Q: What is Penn State Health Medical Group, LLC's NPI number?

The NPI number for Penn State Health Medical Group, LLC is 1699420273. It was assigned to this organization in the NPPES registry on February 13, 2022.

Q: What is Penn State Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since February 13, 2022

503 N 21ST ST, CAMP HILL, PA 17011(717) 972-4301(717) 312-3006 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 3, 2026, Feb 14, 2022, Feb 13, 2022 (3 updates tracked since 2022).

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About Penn State Health Medical Group, Llc NPPES

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

PENN STATE HEALTH MEDICAL GROUP, LLC (NPI 1699420273) is a healthcare organization registered as an emergency medicine in Camp Hill, Pennsylvania and active in the NPI registry since February 2022. The organization maintains 2 additional practice locations and lists Tracy L Moyer-swinko, Vp/chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1699420273

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NamePENN STATE HEALTH MEDICAL GROUP, LLC

Location Address503 N 21ST STCamp Hill, PA 17011-2204

Mailing AddressPo Box 825972Philadelphia, PA 19182-5972 · (717) 531-4859 · Fax (717) 312-3104

Phone(717) 972-4301

Fax(717) 312-3006

Organization SubpartYesParent: Penn State Health

Authorized OfficialTracy L Moyer-swinkoVp/chief Financial Officer · (717) 531-8477

Enumeration DateFebruary 13, 2022

Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1699420273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

503 N 21ST ST, Camp Hill, PA 17011

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Secondary Practice Locations 2

Location 12200 Good Hope RdEnola, PA 17025-1210 · Phone (717) 981-9000 · Fax (717) 312-3006

Location 22160 State RdLancaster, PA 17601-1812 · Phone (223) 287-8170 · Fax (717) 312-3150

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)

Penn State Health Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

991

Medicare enrollment records show 991 clinicians reassign Medicare billing to Penn State Health Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 74 practice at this address and 255 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 42

Nurse Practitioner213

Diagnostic Radiology93

Internal Medicine89

Family Practice77

Certified Registered Nurse Anesthetist (CRNA)74

Hospitalist55

Emergency Medicine53

Neurology43

34 other specialties294

Nearest to this location (20)

See all 991

Amanda Anton, M.D.

Internal Medicine

NPI 1326480500

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4448

✔ PECOS✔ Accepts MedicareSame address

Shane Appel, M.D.

Emergency Medicine

NPI 1861924177

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4301

✔ PECOS✔ Accepts MedicareSame address

Shante Bennett, MD

Diagnostic Radiology

NPI 1396081857

503 NORTH 21ST ST
Camp Hill, PA 17011

(717) 972-4379

✔ PECOS✔ Accepts MedicareSame address

Sasikala Bimini Krishnamurthy, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1699229625

503 N 21ST ST
Camp Hill, PA 17011

(717) 763-2100

✔ Accepts MedicareSame address

Arlene Bobonich, MD

Hospice/Palliative Care

NPI 1669408035

503 NORTH 21ST ST.
Camp Hill, PA 17110

(717) 763-2100

✔ PECOS✔ Accepts MedicareSame address

Srinivasa Ramanujan Boora, M.D.,

Internal Medicine

NPI 1124307988

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4448

✔ PECOS✔ Accepts MedicareSame address

Paul Brettschneider, MD

Psychiatry

NPI 1518919570

503 N 21ST ST
Camp Hill, PA 17011

(717) 763-2376

✔ PECOS✔ Accepts MedicareSame address

Luke Chetlen, DO

Emergency Medicine

NPI 1508894197

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4301

✔ PECOS✔ Accepts MedicareSame address

Melinda Cree, CRNP

Nurse Practitioner

NPI 1619386117

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4501

✔ PECOSSame address

Nirali Dani, MD

Hospitalist

NPI 1265796593

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4448

✔ PECOS✔ Accepts MedicareSame address

Jessica Danner, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1215491212

503 N 21ST ST
Camp Hill, PA 17011

(717) 763-2100

✔ Accepts MedicareSame address

Venkateswara Davuluri, M.D

Hospitalist

NPI 1659533628

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4448

✔ PECOS✔ Accepts MedicareSame address

Dylan Degol, MD

Emergency Medicine

NPI 1699268508

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4301

✔ PECOS✔ Accepts MedicareSame address

Aisatou Diallo, M.D

Internal Medicine

NPI 1598043911

503 N. 21ST STREET
Camp Hill, PA 17011

(717) 972-4448

✔ PECOS✔ Accepts MedicareSame address

Megan Drahnak, CRNP

Nurse Practitioner

NPI 1467177915

503 N 21ST ST
Camp Hill, PA 17011

(717) 763-2100

✔ PECOS✔ Accepts MedicareSame address

Jaime Herrera Caceres, MD, MSC

Urology

NPI 1457022766

503 N 21ST ST
Camp Hill, PA 17011

(717) 763-2100

✔ PECOS✔ Accepts MedicareSame address

Gurmeet Kalra, M.D.

Family Practice

NPI 1659599066

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4448

✔ PECOS✔ Accepts MedicareSame address

Suzi Leidig, MD

Psychiatry

NPI 1710940663

503 N 21ST ST
Camp Hill, PA 17011

(717) 763-2219

✔ PECOS✔ Accepts MedicareSame address

Stephanie Madonis

Interventional Cardiology

NPI 1972997922

503 N 21ST ST
Camp Hill, PA 17011

(717) 763-2100

✔ PECOS✔ Accepts MedicareSame address

Richard Prensner, MD

Family Practice

NPI 1992767909

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4448

✔ PECOS✔ Accepts MedicareSame address

See all 991 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 Penn State Health Medical Group, LLC's NPI number?

The NPI number for Penn State Health Medical Group, LLC is 1699420273. It was assigned to this organization in the NPPES registry on February 13, 2022.

Where is Penn State Health Medical Group, LLC located?

Penn State Health Medical Group, LLC is located at 503 N 21st St, Camp Hill, PA 17011. The listed phone number is (717) 972-4301.

What is Penn State Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Penn State Health Medical Group, LLC enrolled in Medicare?

Yes. Penn State Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Penn State Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 991 clinicians in 42 Medicare specialties reassign their Medicare billing to Penn State Health Medical Group, LLC. 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 (213), Diagnostic Radiology (93) and Internal Medicine (89). Of these, 74 practice at this address and 255 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 Penn State Health Medical Group, LLC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.