WELLSPAN MEDICAL GROUP
NPI 1922790963
Family Medicine in Jacobus, PA
About Wellspan Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLSPAN MEDICAL GROUP (NPI 1922790963), doing business as Wellspan Family Medicine - Jacobus, is a healthcare organization registered as a family medicine in Jacobus, Pennsylvania and active in the NPI registry since May 2023. The organization lists Laura Frank, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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 Medical Group 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 Medical Group, which bills Medicare for the services they deliver. Of these, 989 practice 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.
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 1922790963. It was assigned to this organization in the NPPES registry on May 25, 2023. The provider is doing business as WellSpan Family Medicine - Jacobus.
Where is Wellspan Medical Group located?
Wellspan Medical Group is located at 55 N Main St, Jacobus, PA 17407. The listed phone number is (717) 428-1911.
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, 989 practice 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 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Medical Group · NPI 1922790963
Family Medicine organization in Jacobus, Pennsylvania. Organization record, active in the CMS NPPES registry since May 25, 2023.
## Identity
- **NPI:** 1922790963 (Entity type: Organization)
- **Enumerated:** May 25, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** WellSpan Family Medicine - Jacobus (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Laura Frank, CREDENTIALING MANAGER
## Practice location
- **Address:** 55 N MAIN ST, Jacobus, PA 17407-1248
- **Phone:** (717) 428-1911 · **Fax:** (717) 428-2519
## 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); 989 practice within 10 miles; [full list](https://npiprofile.com/npi/1922790963/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 25, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1922790963) · Data from the CMS NPPES public registry.