WELLSPAN FAMILY MEDICINE-ROOSEVELT AVENUE
NPI 1881020808
Family Medicine in York, PA
About Wellspan Family Medicine-roosevelt Avenue NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLSPAN FAMILY MEDICINE-ROOSEVELT AVENUE (NPI 1881020808) is a healthcare organization registered as a family medicine in York, Pennsylvania and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Amy F Wilkinson, Credentialing Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
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-roosevelt Avenue is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3,072Medicare enrollment records show 3,072 clinicians reassign Medicare billing to Wellspan Family Medicine-Roosevelt Avenue, which bills Medicare for the services they deliver. Of these, 35 practice at this address and 969 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 65
Nearest to this location (20)
See all 3,072Source: 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
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 of Waiver 39D2073414
Wellspan Family Medicine - Roosevelt Ave · York, PAFrequently 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 1881020808. It was assigned to this organization in the NPPES registry on September 23, 2013. The provider is doing business as Wellspan Family Medicine-Roosevelt Avenue.
Where is Wellspan Medical Group located?
Wellspan Medical Group is located at 1401 Roosevelt Ave, York, PA 17404. The listed phone number is (717) 812-7000.
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, 35 practice at this address and 969 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wellspan Medical Group hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2073414) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Wellspan Medical Group was last updated on January 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Wellspan Family Medicine-Roosevelt Avenue · NPI 1881020808
Family Medicine organization in York, Pennsylvania. Organization record, active in the CMS NPPES registry since September 23, 2013.
## Identity
- **NPI:** 1881020808 (Entity type: Organization)
- **Enumerated:** September 23, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Wellspan Medical Group
- **Organization subpart:** No
- **Authorized official:** Amy Wilkinson, CREDENTIALING SUPERVISOR
## Practice location
- **Address:** 1401 ROOSEVELT AVE, York, PA 17404-2244
- **Phone:** (717) 812-7000 · **Fax:** (717) 767-8985
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3,072 clinicians in 65 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (658), Certified Registered Nurse Anesthetist (CRNA) (284), Family Practice (275); 35 practice at this address and 969 within 10 miles; [full list](https://npiprofile.com/npi/1881020808/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2014
- **Other identifiers:** Medicare PIN 117038 (PA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881020808) · Data from the CMS NPPES public registry.