TRACEY ELIZABETH WILEY (NPI# 1194785162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194785162 |
| Entity Type | Individual |
| Full Name | TRACEY ELIZABETH WILEY |
| Other Name | TRACEY ELIZABETH OBERHOLZER |
| Credential | CRNP |
| Practice Address |
12 St Paul Dr Ste 210 Chambersburg PA 17201-1035 |
| Mailing Address |
785 5th Avenue Suite 3 Chambersburg PA 17201-4232 |
| Practice Telephone | 7172176820 |
| Practice Fax Number | 7172176942 |
| Mailing Telephone | 7172639555 |
| Mailing Fax Number | 7172174217 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | TP005855B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICAID GROUP # | 1007307260034 | 01 |
| PA | 102556669 | 05 | |
| PA | MULTIPLAN/PHCS | 25-1716306 | 01 |
| PA | 102556669 0001 | 05 | |
| PA | MEDICARE GROUP # | 867633 | 01 |
| PA | INTERGROUP | 25-1716306 | 01 |
| PA | LICENSE | TP005855B | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 24 Antrim Commons Dr, Greencastle, PA 172251623 | 7172176820 | 7172176942 |
| 354 Alexander Spring Rd Ste 3, Carlisle, PA 170157451 | 7172176820 | 7172176942 |
| 601 E Main St, Waynesboro, PA 172682332 | 7172176820 | 7172176942 |
| 820 Chambersburg Rd, Gettysburg, PA 173253310 | 7172176820 | 7172176942 |
| Street Address |
12 ST PAUL DR STE 210 |
| City | CHAMBERSBURG |
| State | PA |
| Zip Code | 17201-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558856252 | Kristine D Lively-helman | Nurse Practitioner | 12 St Paul Dr Ste 210, Chambersburg, PA 17201-1035 | 2018-06-25 |
| 1538538871 | Gwendolyn Orfan | Nurse Practitioner | 12 St Paul Dr Ste 210, Chambersburg, PA 17201-1035 | 2015-09-16 |
| 1154728442 | Tara Irvin | Nurse Practitioner | 12 St Paul Dr Ste 210, Chambersburg, PA 17201-1035 | 2014-12-02 |
| 1700188778 | Jennifer Marie Ruby | Dietitian, Registered | 12 St Paul Dr Ste 210, Chambersburg, PA 17201-1035 | 2010-11-24 |
| 1235446188 | Summit Physician Services | Pediatrics | 12 St Paul Dr Ste 210, Chambersburg, PA 17201-1033 | 2010-09-13 |
| 1962680850 | Elizabeth A Wolfinger | Registered Nurse | 12 St Paul Dr Ste 210, Chambersburg, PA 17201-1035 | 2008-02-04 |
| 1154507937 | Barbara Easton Van Meerbeke | Dietitian, Registered | 12 St Paul Dr Ste 210, Chambersburg, PA 17201-1035 | 2008-01-11 |
| 1679776298 | Tiffany L. Morton | Internal Medicine | 12 St Paul Dr Ste 210, Chambersburg, PA 17201-1035 | 2007-06-10 |
| 1144435819 | Carina Signori | Internal Medicine | 12 St Paul Dr Ste 210, Chambersburg, PA 17201-1035 | 2007-05-14 |
| 1700919065 | Melissa T. Benzon | Nutritionist | 12 St Paul Dr Ste 210, Chambersburg, PA 17201-1035 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902496 | Kerin Bielecki | Pharmacist | 1730 Lincoln Way West, Chambersburg, PA 17201 | 2020-11-02 |
| 1750995833 | Emily Suzanne Benfer | Occupational Therapist | 32 Parkwood Drive, Chambersburg, PA 17201 | 2020-09-04 |
| 1225688559 | Oneskin Dermatology LLC | Clinic/Center | 211 Grant Street, Chambersburg, PA 17201 | 2019-09-18 |
| 1679033963 | Hospice of Washington County, Inc. | Hospice Care, Community Based | 209 Grant Street, Chambersburg, PA 17201 | 2019-03-22 |
| 1659837540 | Dialysis Care Center Chambersburg LLC | Clinic/Center | 20 Parkwood Drive, Suite 1, Chambersburg, PA 17201 | 2019-02-15 |
| 1518423623 | Wolter Advanced Dental Care | Durable Medical Equipment & Medical Supplies | 20 Parkwood Dr., Ste 3, Chambersburg, PA 17201 | 2019-02-13 |
| 1972059202 | Lindsey Rae Hyatt | Physician Assistant | 761 Park Fifth Avenue, Chambersburg, PA 17201 | 2016-08-28 |
| 1093176943 | Marcia Rebert | Counselor | 1212 Progress Road, Chambersburg, PA 17201 | 2016-03-18 |
| 1669833471 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 968 Norland Avenue, Chambersburg, PA 17201 | 2016-03-08 |
| 1104283324 | Meagen Louise Stouffer | Acupuncturist | 394 Floral Ave, Chambersburg, PA 17201 | 2016-01-19 |
| Find all providers in zip 17201 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215398060 | Lara Verhoef | Nurse Practitioner | 111 Chambers Hill Dr Ste 100, Chambersburg, PA 17201-7304 | 2016-03-08 |
| 1073829370 | Jessica Michelle Markowski | Nurse Practitioner | 761 5th Ave Ste F, Chambersburg, PA 17201-4210 | 2010-08-24 |
| 1265447692 | Summit Physician Services | Nurse Practitioner | 1610 Orchard Drive, Chambersburg, PA 17201-9206 | 2006-07-31 |
| 1710512017 | Pinnacle Health Medical Services | Nurse Practitioner | 435 Phoenix Dr, Chambersburg, PA 17201-4534 | 2020-03-06 |
| 1831737519 | Jena Leisher | Nurse Practitioner | 176 S Coldbrook Ave, Chambersburg, PA 17201-2712 | 2019-12-13 |
| 1528604337 | Melissa Michaels | Nurse Practitioner | 12 St Paul Dr Ste 208, Chambersburg, PA 17201-1035 | 2019-11-27 |
| 1144865775 | Michelle Adams | Nurse Practitioner | 3106 Philadelphia Ave, Chambersburg, PA 17201-8938 | 2019-11-07 |
| 1043864689 | Margaret Ashleigh Murray | Nurse Practitioner | 120 N 7th St Ste 200, Chambersburg, PA 17201-1795 | 2019-08-01 |
| 1407408289 | Hillary Lowe | Nurse Practitioner | 1000 Norland Ave, Chambersburg, PA 17201-4229 | 2019-07-12 |
| 1801457734 | Matthew Eric Hopkins | Nurse Practitioner | 830 5th Ave Ste 103, Chambersburg, PA 17201-4224 | 2019-06-21 |
| Find all providers in CHAMBERSBURG | ||||
| City | CHAMBERSBURG |
| Zip Code | 17201 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.