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GISELLE ANDREA AERNI MD
NPI 1760636401
Family Medicine - Sports Medicine in York, PA

Active since November 07, 2008PECOS EnrolledAccepts Medicare Assignment
1855 POWDER MILL RD, YORK, PA 17402(717) 848-4800(717) 741-9867 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 25, 2025, Nov 21, 2023, Nov 6, 2023 and 4 more (7 updates tracked since 2016).

About Giselle Andrea Aerni Md NPPES

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

GISELLE ANDREA AERNI MD (NPI 1760636401) is an individual sports medicine provider in York, Pennsylvania, licensed in Pennsylvania (MD441769) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Oss Orthopaedic Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1760636401
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameGISELLE ANDREA AERNICredential: MD
Location Address1855 POWDER MILL RDYork, PA 17402-4723
Mailing Address1861 Powder Mill Rd, Attn: Medical Staff OfficeYork, PA 17402-4723 · (717) 718-2041 · Fax (717) 747-2102
Phone(717) 848-4800
Fax(717) 741-9867
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 7, 2008
Last NPPES UpdateOctober 14, 20257 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1760636401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in PA · MD441769
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD441769 (PA)
1855 POWDER MILL RD, York, PA 17402
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Secondary Practice Locations 4

Location 11665 Roosevelt AveYork, PA 17408-8549 · Phone (717) 848-4800 · Fax (717) 741-9867
Location 21926 Good Hope RdEnola, PA 17025-1217 · Phone (717) 848-4800 · Fax (717) 741-9867
Location 3470 Eisenhower DrHanover, PA 17331-5248 · Phone (717) 633-0031 · Fax (717) 630-1085
Location 4856 Century DrMechanicsburg, PA 17055-4505 · Phone (717) 730-7099 · Fax (717) 741-9867

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Giselle Andrea Aerni Md 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 ID3375791148
PECOS Enrollment IDI20170920000331
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Giselle Aerni reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oss Orthopaedic Hospital, LLC
Same address
General Acute Care Hospital
1855 POWDER MILL RD
York, PA 17402
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 165 clinicians in this Medicare group
NPI 1962758375 (717) 848-4800
Wellspan Medical Group
0.7 mi
Occupational Medicine
370 SAINT CHARLES WAY
York, PA 17402
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1316520638 (717) 851-1600
York Hospital
2.4 mi
Mental Health (Including Community Mental Health Center)
1001 S GEORGE ST
York, PA 17403
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 272 clinicians in this Medicare group
NPI 1114885480 (717) 851-2345

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 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.
26 services25 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
25 services24 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
19 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
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.
16 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Oss Orthopaedic Hospital

Acute Care Hospitals · York, PA
OwnershipProprietary
CMS Certification Number390325
Location1861 Powder Mill RdYork, PA 17402 · York County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17402 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.

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.

MR. DENNIS B. MACDOUGALL CRNP
Nurse Practitioner (Acute Care)
1855 POWDER MILL RD
YORK, PA 17402
York County (717) 848-4800
MR. BRIAN KOONS PA-C
Physician Assistant
1855 POWDER MILL RD
YORK, PA 17402
York County (717) 848-4800
MATTHEW JOSEPH TREPANIER PT, DPT
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
York County (717) 848-4800
MRS. SANDRA A DAW M.S.P.T.
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
York County (717) 848-4800
MR. DAVID MICHAEL HEILAND DPT
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
York County (717) 848-4800
KIMBERLY FAYE GODEK PT,DPT
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
York County (717) 747-8302
ABBIE LEIGH KELLEY D.O.
Family Medicine
1855 POWDER MILL RD
YORK, PA 17402
York County (717) 848-4800
KATHLEEN DIXON SMITH OTD, OTR/L
Occupational Therapist (Hand)
1855 POWDER MILL RD
YORK, PA 17402
York County (717) 747-8302

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 Giselle Aerni's NPI number?

The NPI number for Giselle Aerni is 1760636401. It was assigned to this individual provider in the NPPES registry on November 7, 2008.

Where is Giselle Aerni located?

Giselle Aerni practices at 1855 Powder Mill Rd, York, PA 17402. The listed phone number is (717) 848-4800.

What is Giselle Aerni's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Giselle Aerni enrolled in Medicare?

Yes. Giselle Aerni 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.

Which organizations bill Medicare for Giselle Aerni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Giselle Aerni reassigns Medicare benefits to 3 organizations: Oss Orthopaedic Hospital, LLC (York, PA), Wellspan Medical Group (York, PA) and York Hospital (York, PA). Each 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 Giselle Aerni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Giselle Aerni accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Giselle Aerni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Giselle Aerni affiliated with any hospitals?

According to CMS data, Giselle Aerni is affiliated with Oss Orthopaedic Hospital.

When was this NPI record last updated?

The NPPES record for Giselle Aerni was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.