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WELLSPAN FAMILY MEDICINE - STONY BROOK
NPI 1710055819
Family Medicine in York, PA

Active since November 30, 2006CLIA Certified · 2 labs
4222 LINCOLN HWY, YORK, PA 17406(717) 812-2050(717) 812-2052 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wellspan Family Medicine - Stony Brook NPPES

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

WELLSPAN FAMILY MEDICINE - STONY BROOK (NPI 1710055819) is a healthcare organization registered as a family medicine in York, Pennsylvania and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Christina Vest, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1710055819
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address4222 LINCOLN HWYYork, PA 17406-8083
Mailing Address1803 Mount Rose Ave, Suite B3York, PA 17403-3051 · (717) 851-1405 · Fax (717) 812-2052
Phone(717) 812-2050
Fax(717) 812-2052
Organization SubpartNo
Authorized OfficialChristina VestCredentialing Supervisor · (717) 851-1405
Enumeration DateNovember 30, 2006
Last NPPES UpdateJanuary 11, 2018
✔ NPI 1710055819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4222 LINCOLN HWY, York, PA 17406
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Other Names 1

Doing Business AsWellspan Family Medicine - Stony Brook

Other Identifiers 12

Other82195PA · Unison
OtherCA3246PA · Railroad Medicare
OtherKX10MD · Carefirst Md Bcbs
OtherS1E2PA · Geisinger
Other0756904001PA · Amerihealth 65 Pa
Other=========007PA · Tricare
Other1519297PA · Gateway
Medicaid1007721360117PA
Other1142436PA · Amerihealth Mercy
Other597333PA · Highmark Blue Shield
Other800174PA · John Hopkins
Other02314700PA · Capital Blue Cross

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)

Wellspan Family Medicine - Stony Brook 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 Family Medicine - Stony Brook, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 964 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
Bethanny Hernandez, CRNP
Nurse Practitioner
NPI 1275317943
4222 LINCOLN HWY
York, PA 17406
(717) 812-7812
✔ PECOS✔ Accepts MedicareSame address
Mary Hitchcock, CRNP
Nurse Practitioner
NPI 1124072988
4222 LINCOLN HWY
York, PA 17406
(717) 812-7800
✔ PECOS✔ Accepts MedicareSame address
John Doherty, MD
Family Practice
NPI 1255351946
4222 LINCOLN HWY
York, PA 17406
(717) 812-2050
✔ PECOS✔ Accepts MedicareSame address
Becky Gordon, MD
Family Practice
NPI 1275714222
4222 LINCOLN HWY
York, PA 17406
(717) 812-2050
✔ PECOS✔ Accepts MedicareSame address
Susan Martin, CNM
Certified Nurse Midwife (CNM)
NPI 1710919873
4222 LINCOLN HWY
York, PA 17406
(717) 812-7800
✔ PECOSSame address
Jennifer Mccabe, MD
Family Practice
NPI 1568488146
4222 LINCOLN HWY
York, PA 17406
(717) 812-2050
✔ PECOS✔ Accepts MedicareSame address
Jennifer Stetler, CRNP
Nurse Practitioner
NPI 1518372515
4222 LINCOLN HWY
York, PA 17406
(717) 812-7800
✔ PECOS✔ Accepts MedicareSame address
Joshua Warfel, MD
Family Practice
NPI 1922268762
4222 LINCOLN HWY
York, PA 17406
(717) 812-2050
✔ PECOS✔ Accepts MedicareSame address
Michael Wilson, MD
Family Practice
NPI 1003836784
4222 LINCOLN HWY
York, PA 17406
(717) 812-2050
✔ PECOS✔ Accepts MedicareSame address
Cheyenne Cortez Faupel, DO
Obstetrics/Gynecology
NPI 1649685876
4222 LINCOLN HWY
York, PA 17406
(717) 812-7800
✔ PECOS✔ Accepts MedicareSame address
Kimberly Lamp, DO
Family Practice
NPI 1396037446
4222 LINCOLN HWY
York, PA 17406
(717) 812-2050
✔ PECOS✔ Accepts MedicareSame address
Diego Lasso
Family Practice
NPI 1568148252
4222 LINCOLN HWY
York, PA 17406
(717) 812-2050
✔ PECOSSame address
Felicia Rohrbaugh, CNM
Certified Nurse Midwife (CNM)
NPI 1841244696
4222 LINCOLN HWY
York, PA 17406
(717) 812-7800
✔ PECOS✔ Accepts MedicareSame address
Jesse Urich, DO
Family Practice
NPI 1710560941
4222 LINCOLN HWY
York, PA 17406
(717) 812-2050
✔ PECOS✔ Accepts MedicareSame address
Trina Wright, DO
Obstetrics/Gynecology
NPI 1295170066
4222 LINCOLN HWY
York, PA 17406
(717) 812-7800
✔ PECOS✔ Accepts MedicareSame address
Miaoqi Zhang, DO
Family Practice
NPI 1427742683
4222 LINCOLN HWY
York, PA 17406
(717) 812-2050
✔ PECOS✔ Accepts MedicareSame address
Jaclyn Bellino
Clinical Psychologist
NPI 1578979043
3550 CONCORD RD
York, PA 17402
(717) 851-6340
✔ PECOS1.6 mi
Earl Bernstine, DO
Psychiatry
NPI 1225074503
3550 CONCORD RD
York, PA 17402
(717) 851-6340
✔ PECOS1.6 mi
Jenna Kahler, CRNP
Nurse Practitioner
NPI 1528638129
3550 CONCORD RD
York, PA 17402
(717) 851-6340
✔ PECOS✔ Accepts Medicare1.6 mi
Aimee Mickey, MSW, LCSW
Clinical Social Worker
NPI 1285764225
1407 WILLIAMS RD
York, PA 17402
(717) 851-6340
✔ PECOS✔ Accepts Medicare1.8 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.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D0877594

Wellspan Fam Med - Stony Brook · York, PA
Active · expires Nov 14, 2027
CLIA Number39D0877594
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorDr. Kimberly M. Lamp
Laboratory Phone(717) 812-2050
Laboratory LocationWellspan Fam Med - Stony Brook4222 Lincoln Highway, York, PA 17406
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D0935331

Wellspan Ob/Gyn - Stony Brook · York, PA
Active · expires Oct 26, 2027
CLIA Number39D0935331
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorDr. Jessica W. Tocks
Laboratory Phone(717) 812-7800
Laboratory LocationWellspan Ob/Gyn - Stony Brook4222 Lincoln Highway, York, PA 17406
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 1710055819. It was assigned to this organization in the NPPES registry on November 30, 2006. The provider is doing business as Wellspan Family Medicine - Stony Brook.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 4222 Lincoln Hwy, York, PA 17406. The listed phone number is (717) 812-2050.

What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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, 16 practice at this address and 964 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wellspan Medical Group hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Wellspan Medical Group was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.