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WELLSPAN MEDICAL GROUP
NPI 1740835560
Internal Medicine in York, PA

Active since August 08, 2019
1401 ROOSEVELT AVE, YORK, PA 17404(717) 812-4253(717) 461-7436 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2026, Aug 8, 2019 (2 updates tracked since 2019).

About Wellspan Medical Group NPPES

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

WELLSPAN MEDICAL GROUP (NPI 1740835560), doing business as Wellspan Online Primary Care, is a healthcare organization registered as an internal medicine in York, Pennsylvania and active in the NPI registry since August 2019. The organization lists Jennifer Sweitzzer, Director Pfs, as its authorized official.

NPPES Registry Identity

NPI1740835560
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address1401 ROOSEVELT AVEYork, PA 17404-2244
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 812-4253
Fax(717) 461-7436
Organization SubpartNo
Authorized OfficialJennifer SweitzzerDirector Pfs · (717) 851-6383
Enumeration DateAugust 8, 2019
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1740835560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
1401 ROOSEVELT AVE, York, PA 17404
Open in Google Maps ↗

Other Names 1

Doing Business AsWellspan Online Primary Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Medical Group 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 Medical Group, which bills Medicare for the services they deliver. Of these, 35 practice at this address and 967 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
Derek Baughman, MD
Family Practice
NPI 1750942900
1401 ROOSEVELT AVE STE 204
York, PA 17404
(717) 356-6250
✔ PECOSSame address
Stephanie Boyer, CRNP
Nurse Practitioner
NPI 1093108193
1401 ROOSEVELT AVE
York, PA 17404
(717) 356-6250
✔ PECOSSame address
Nicole Byers, CRNP
Nurse Practitioner
NPI 1114564598
1401 ROOSEVELT AVE
York, PA 17404
(717) 356-6250
✔ PECOSSame address
Holly Carney
Nurse Practitioner
NPI 1184306748
1401 ROOSEVELT AVE
York, PA 17404
(717) 356-6250
✔ PECOS✔ Accepts MedicareSame address
Arnold Cruz, D.O.
Family Practice
NPI 1487682514
1401 ROOSEVELT AVE
York, PA 17404
(877) 232-5807
✔ PECOS✔ Accepts MedicareSame address
Brianna Custer, DO
Family Practice
NPI 1528799814
1401 ROOSEVELT AVE
York, PA 17404
(717) 356-6250
✔ PECOS✔ Accepts MedicareSame address
Mary Demino, DO
Family Practice
NPI 1750735924
1401 ROOSEVELT AVE
York, PA 17404
(717) 356-6520
✔ PECOS✔ Accepts MedicareSame address
Kathryn Frie, NURSE PRACTITIONER
Nurse Practitioner
NPI 1912288762
1401 ROOSEVELT AVE
York, PA 17404
(877) 232-5807
✔ PECOSSame address
Samy Gergis, MD
Family Practice
NPI 1780683300
1401 ROOSEVELT AVE
York, PA 17404
(717) 356-6250
✔ PECOS✔ Accepts MedicareSame address
Jamie Hadarean, APRN-BC
Nurse Practitioner
NPI 1730261322
1401 ROOSEVELT AVE
York, PA 17404
(717) 356-6250
✔ PECOSSame address
Jaime Henson, CRNP
Nurse Practitioner
NPI 1023553229
1401 ROOSEVELT AVE
York, PA 17404
(717) 356-6250
✔ PECOSSame address
Philip Hove, D.O.
Family Practice
NPI 1922049717
1401 ROOSEVELT AVE
York, PA 17404
(717) 356-6250
✔ PECOS✔ Accepts MedicareSame address
Sara Ionescu, M.D.
Family Practice
NPI 1104236942
1401 ROOSEVELT AVE
York, PA 17404
(717) 356-6250
✔ PECOS✔ Accepts MedicareSame address
Joyce Johnson, MD
Family Practice
NPI 1538468129
1401 ROOSEVELT AVE
York, PA 17404
(877) 232-5807
✔ PECOS✔ Accepts MedicareSame address
Danette Joseph, M.D.
Family Practice
NPI 1447325204
1401 ROOSEVELT AVE
York, PA 17404
(717) 356-5198
✔ PECOS✔ Accepts MedicareSame address
Ann Kint, CRNP
Nurse Practitioner
NPI 1447642897
1401 ROOSEVELT AVE
York, PA 17404
(717) 356-6250
✔ PECOS✔ Accepts MedicareSame address
Noah Mabry, CRNP
Nurse Practitioner
NPI 1649822966
1401 ROOSEVELT AVE
York, PA 17404
(717) 356-6250
✔ PECOS✔ Accepts MedicareSame address
Abroo Nawaz, MD
Internal Medicine
NPI 1275621518
1401 ROOSEVELT AVE
York, PA 17404
(717) 356-6250
✔ PECOS✔ Accepts MedicareSame address
Uchechi Onyeyirim, NP
Nurse Practitioner
NPI 1366783540
1401 ROOSEVELT AVE
York, PA 17404
(717) 356-6250
✔ PECOS✔ Accepts MedicareSame address
Quintisha Walker, M.D.
Internal Medicine
NPI 1376939793
1401 ROOSEVELT AVE
York, PA 17404
(877) 232-5807
✔ 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 1740835560. It was assigned to this organization in the NPPES registry on August 8, 2019. The provider is doing business as WellSpan Online Primary Care.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 1401 Roosevelt Ave, York, PA 17404. The listed phone number is (717) 812-4253.

What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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, 35 practice at this address and 967 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 May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.