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PINE RUN MENTAL HEALTH & WELLNESS
NPI 1902624869
Nurse Practitioner - Psychiatric/Mental Health in Williamsport, PA

Active since September 30, 2024
400 MARKET ST, WILLIAMSPORT, PA 17701(929) 724-2277(929) 724-2277 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 6, 2026, Sep 30, 2024 (2 updates tracked since 2024).

About Pine Run Mental Health & Wellness NPPES

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

PINE RUN MENTAL HEALTH & WELLNESS (NPI 1902624869) is a healthcare organization registered as a psychiatric/mental health in Williamsport, Pennsylvania and active in the NPI registry since September 2024. The organization maintains a secondary practice location in Linden and lists David Christopher Petersen, Pmhnp/owner, as its authorized official.

NPPES Registry Identity

NPI1902624869
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePINE RUN MENTAL HEALTH & WELLNESS
Location Address400 MARKET STWilliamsport, PA 17701-6344
Mailing Address2319 Pine Run RdLinden, PA 17744-8149 · (570) 215-9965 · Fax (570) 215-9965
Phone(929) 724-2277
Fax(929) 724-2277
Organization SubpartNo
Authorized OfficialDavid Christopher PetersenPmhnp/owner · (570) 215-9965
Enumeration DateSeptember 30, 2024
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1902624869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
400 MARKET ST, Williamsport, PA 17701
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Secondary Practice Location 1

Location 12319 Pine Run RdLinden, PA 17744-8149 · Phone (929) 724-2277 · Fax (929) 724-2277

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

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 ›

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 Pine Run Mental Health & Wellness's NPI number?

The NPI number for Pine Run Mental Health & Wellness is 1902624869. It was assigned to this organization in the NPPES registry on September 30, 2024.

Where is Pine Run Mental Health & Wellness located?

Pine Run Mental Health & Wellness is located at 400 Market St, Williamsport, PA 17701. The listed phone number is (929) 724-2277.

What is Pine Run Mental Health & Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Pine Run Mental Health & Wellness accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Pine Run Mental Health & Wellness 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.

When was this NPI record last updated?

The NPPES record for Pine Run Mental Health & Wellness was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.