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SUSQUEHANNA PHYSICIAN SERVICES
NPI 1962018135
Family Medicine in Williamsport, PA

Active since September 22, 2020
700 HIGH ST FL 9, WILLIAMSPORT, PA 17701(570) 321-2770(570) 321-2771 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susquehanna Physician Services NPPES

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

SUSQUEHANNA PHYSICIAN SERVICES (NPI 1962018135) is a healthcare organization registered as a family medicine in Williamsport, Pennsylvania and active in the NPI registry since September 2020. The organization lists Melissa Davis, Vp/coo, as its authorized official.

NPPES Registry Identity

NPI1962018135
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES
Location Address700 HIGH ST FL 9Williamsport, PA 17701-3100
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900
Phone(570) 321-2770
Fax(570) 321-2771
Organization SubpartNo
Authorized OfficialMelissa DavisVp/coo · (570) 326-8544
Enumeration DateSeptember 22, 2020
NPPES CertifiedSeptember 21, 2020
✔ NPI 1962018135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
700 HIGH ST FL 9, Williamsport, PA 17701
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Other Names 1

Other NameUpmc Primary Care Williamsport

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)

Susquehanna Physician Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to Susquehanna Physician Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Family Practice16
Nurse Practitioner7
Internal Medicine2
Pediatric Medicine1

Nearest to this location (20)

See all 26
John Pellegrino
Family Practice
NPI 1932107596
700 HIGH ST FL 9 9TH FLOOR
Williamsport, PA 17701
(570) 321-2770
✔ PECOS✔ Accepts MedicareSame address
Jonathan Seiferth, MD
Family Practice
NPI 1386224384
740 HIGH ST STE 4001
Williamsport, PA 17701
(570) 321-2345
✔ PECOS✔ Accepts Medicare0.1 mi
Daniel Schuler, DO
Family Practice
NPI 1861013682
175 PINE ST STE 200
Williamsport, PA 17701
(570) 326-2447
✔ PECOS✔ Accepts Medicare0.9 mi
Shelly Conner, CRNP
Nurse Practitioner
NPI 1114301165
1100 GRAMPIAN BLVD
Williamsport, PA 17701
(570) 326-8200
✔ PECOS✔ Accepts Medicare1.8 mi
Donna Mullarkey, MD
Family Practice
NPI 1376588426
1100 GRAMPIAN BLVD
Williamsport, PA 17701
(570) 320-7680
✔ PECOS✔ Accepts Medicare1.8 mi
Michelle Cavanaugh
Family Practice
NPI 1023082351
145 SHAFFER ST
South Williamsport, PA 17702
(570) 326-2447
✔ PECOS✔ Accepts Medicare1.9 mi
Matthew Meeker, DO
Family Practice
NPI 1518288935
1205 GRAMPIAN BLVD SUITE 1A
Williamsport, PA 17701
(570) 320-7800
✔ PECOS✔ Accepts Medicare2.0 mi
Michael Su, MD
Family Practice
NPI 1639707326
10 WISTERIA LN
Williamsport, PA 17701
(215) 620-8523
✔ PECOS✔ Accepts Medicare3.6 mi
Deanna Bump, CRNP
Nurse Practitioner
NPI 1972225563
900 PLAZA DR
Montoursville, PA 17754
(570) 368-3321
✔ PECOS5.3 mi
Ingrid Donato, MD
Internal Medicine
NPI 1497745616
900 PLAZA DR
Montoursville, PA 17754
(570) 368-3321
✔ PECOS5.3 mi
Jenna Farquhar, MD
Family Practice
NPI 1699406918
900 PLAZA DR
Montoursville, PA 17754
(570) 368-3321
✔ PECOS✔ Accepts Medicare5.3 mi
Keisha Heivly, CRNP
Nurse Practitioner
NPI 1689556920
900 PLAZA DR
Montoursville, PA 17754
(570) 368-3321
✔ PECOS✔ Accepts Medicare5.3 mi
Elizabeth Klucka
Family Practice
NPI 1366705808
900 PLAZA DR
Montoursville, PA 17754
(570) 601-8574
✔ PECOS✔ Accepts Medicare5.3 mi
Di Tran, DO
Family Practice
NPI 1710620588
900 PLAZA DR
Montoursville, PA 17754
(570) 368-3321
✔ PECOS✔ Accepts Medicare5.3 mi
Brittney Welshans, CRNP
Nurse Practitioner
NPI 1679226120
900 PLAZA DR
Montoursville, PA 17754
(570) 368-3321
✔ PECOS✔ Accepts Medicare5.3 mi
Amber Wheeler, CRNP
Nurse Practitioner
NPI 1053020933
900 PLAZA DR
Montoursville, PA 17754
(570) 368-3321
✔ PECOS5.3 mi
Steven Barrows, MD
Family Practice
NPI 1104263169
45 PARK DR ROUTE 405
Montgomery, PA 17752
(570) 546-4062
✔ PECOS✔ Accepts Medicare9.7 mi
Elizabeth Le, CRNP
Nurse Practitioner
NPI 1790482479
45 PARK DR
Montgomery, PA 17752
(570) 546-4062
✔ PECOS✔ Accepts Medicare9.7 mi
Amy Sudol
Internal Medicine
NPI 1811450604
45 PARK DR ROUTE 405
Montgomery, PA 17752
(570) 546-4062
✔ PECOS✔ Accepts Medicare9.7 mi
Nicholas Gorski, DO
Family Practice
NPI 1609339167
2370 OLD TURNPIKE RD STE 1
Lewisburg, PA 17837
(570) 551-0191
✔ PECOS✔ Accepts Medicare21 mi
See all 26 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 Susquehanna Physician Services's NPI number?

The NPI number for Susquehanna Physician Services is 1962018135. It was assigned to this organization in the NPPES registry on September 22, 2020. The provider is also known as UPMC Primary Care Williamsport.

Where is Susquehanna Physician Services located?

Susquehanna Physician Services is located at 700 High St Fl 9, Williamsport, PA 17701. The listed phone number is (570) 321-2770.

What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susquehanna Physician Services enrolled in Medicare?

Yes. Susquehanna Physician Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Susquehanna Physician Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 4 Medicare specialties reassign their Medicare billing to Susquehanna Physician Services. 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 Family Practice (16), Nurse Practitioner (7) and Internal Medicine (2). Of these, 1 practice at this address and 19 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 Susquehanna Physician Services was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.