Pine Run Mental Health & Wellness
NPI 1902624869 · Psychiatric/Mental Health Nurse Practitioner · Williamsport, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pine Run Mental Health & Wellness is a Psychiatric/Mental Health Nurse Practitioner organization in Williamsport, PA (NPI 1902624869).
Provider details
- NPI number
- 1902624869
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- David Petersen, Pmhnp(570) 929-2277
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2319 Pine Run RdLinden, PA 17744-8149Phone: (929) 724-2277Fax: (929) 724-2277
Registry dates
- Enumerated
- 2024-09-30
- Last updated
- 2024-09-30
- Certified
- 2024-09-30
Frequently asked questions
- What is Pine Run Mental Health & Wellness's NPI number?
- Pine Run Mental Health & Wellness's National Provider Identifier (NPI) is 1902624869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Run Mental Health & Wellness?
- Pine Run Mental Health & Wellness is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Pine Run Mental Health & Wellness located?
- Pine Run Mental Health & Wellness's practice location on file with NPPES is 400 Market St, Williamsport, PA 17701-6344.
- What is Pine Run Mental Health & Wellness's phone number?
- The practice phone number listed in the NPPES registry for Pine Run Mental Health & Wellness is (929) 724-2277.
- Does Pine Run Mental Health & Wellness accept Medicare?
- Pine Run Mental Health & Wellness is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pine Run Mental Health & Wellness?
- The authorized official listed on Pine Run Mental Health & Wellness's NPPES record is David Petersen, Pmhnp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Run Mental Health & Wellness's NPI active?
- Yes — Pine Run Mental Health & Wellness's NPI (1902624869) is active in the NPPES registry as of the last update on 2024-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.