MEDICARE: LISA M WIPPEL PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	MA052611	PA

General Provider Information

NPI Number	:	1821019084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA M WIPPEL PA-C

Provider Business Mailing Address
First Line	:	1165 CENTRE TPKE FL 2
Second Line	:
City	:	ORWIGSBURG
State	:	PA
Zip	:	17961-9343
Country	:	US
Telephone Number	:	272-639-5040
Fax Number	:

Provider Business Practice Location Address
First Line	:	1165 CENTRE TPKE FL 2
Second Line	:
City	:	ORWIGSBURG
State	:	PA
Zip	:	17961-9343
Country	:	US
Telephone Number	:	272-639-5040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	02/20/2026

Similar Medicare Providers

1790514800 — KELSEY CLAUSER CRNP
Practice Location Address:

1165 CENTRE TPKE FL 2
ORWIGSBURG, PA
17961-9343

Practice Phone: 570-573-4679
Practice Fax:

1043969694 — ALEXANDRA CONFORTI
Practice Location Address:

1165 CENTRE TPKE FL 2
ORWIGSBURG, PA
17961-9343

Practice Phone: 272-639-5040
Practice Fax:

1114248523 — MARGARET JOAN YOUNG DO
Practice Location Address:

1165 CENTRE TPKE FL 2
ORWIGSBURG, PA
17961-9343

Practice Phone: 272-639-5040
Practice Fax: 272-639-5140

1003810045 — DR. DONALD DURAND DIVERIO JR. D.O.
Practice Location Address:

1165 CENTRE TPKE
ORWIGSBURG, PA
17961-9343

Practice Phone: 272-639-5130
Practice Fax:

1497731038 — CAROLE ANN VINCENT DO
Practice Location Address:

1165 CENTRE TPKE
ORWIGSBURG, PA
17961-9343

Practice Phone: 570-968-1300
Practice Fax: 570-968-1305

1376829606 — REBECCA A O'DONNELL CRNP
Practice Location Address:

1165 CENTRE TPKE
ORWIGSBURG, PA
17961-9343

Practice Phone: 709-681-3005
Practice Fax: 570-968-1305

Directions to “ LISA M WIPPEL PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.