ELLEN R SUPERDOCK CRNP
NPI 1497306336
Nurse Practitioner - Family in Lebanon, PA
NPI Status: Active since September 23, 2019
- Individual
- Female
- Nurse Practitioner
- Family
- Accepts Insurance
- PECOS Enrolled
About ELLEN SUPERDOCK
This page provides the complete NPI Profile along with additional information for Ellen Superdock, a provider established in Lebanon, Pennsylvania with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1497306336 assigned on September 2019. The practitioner's primary taxonomy code is 363LF0000X with license number SP020508 (PA). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1497306336
- Provider Name
- ELLEN R SUPERDOCK CRNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 920 CHURCH ST LEBANON, PA 17046
- Location Phone
- (717) 272-2700
- Mailing Address
- 304 N WATER ST LANCASTER, PA 17603
- Mailing Phone
- (717) 735-6808
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-23-2019
- Last Update Date
- 03-04-2021
- Code Navigator
A nurse practitioner (NP) like Ellen Superdock is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 435 S Kinzer Ave Ste 6
New Holland, PA 17557
(717) 351-2400
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- SP020508
- License State
- PA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ellen Superdock is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 17046 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.88
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $21.22
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.82
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $24.2
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 3 | 0 | 6 | 3 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 6 | 0 | 12 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 6 + 0 + 1 + 2 + 3 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1497306336 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740836824 | HALEY MORGAN KLINGER RDN, LDN Individual | Dietitian, Registered | 920 CHURCH ST LEBANON, PA 17046 (717) 272-2700 |
| 1659965408 | MARYLOUISE DEAVEN CRNP Individual | Nurse Practitioner (Family) | 920 CHURCH ST LEBANON, PA 17046 (717) 272-2700 |
| 1790180149 | KENDRA DEANNE FRENCH CRNP Individual | Nurse Practitioner (Women's Health) | 920 CHURCH ST LEBANON, PA 17046 (717) 333-3011 |
| 1932860822 | KATIA HAYDAR RP Individual | Pharmacist | 920 CHURCH ST LEBANON, PA 17046 (717) 272-2700 |
| 1881332708 | JENNIFER MAE MARTIN FNP-C Individual | Nurse Practitioner (Family) | 920 CHURCH ST LEBANON, PA 17046 (717) 272-2700 |
| 1134699465 | JONATHAN DAVID SANGER CRNP Individual | Nurse Practitioner (Family) | 920 CHURCH ST LEBANON, PA 17046 (717) 272-2700 |
| 1285346064 | NERI AYLLON-VERGARA CRNP Individual | Nurse Practitioner (Family) | 920 CHURCH ST LEBANON, PA 17046 (717) 769-4744 |
| 1699123513 | ELIZABETH MAXWELL MD Individual | Family Medicine | 920 CHURCH ST LEBANON, PA 17046 (717) 272-2700 |
| 1841785607 | UNION COMMUNITY CARE Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 920 CHURCH ST LEBANON, PA 17046 (717) 299-6371 |
| 1679235402 | UNION COMMUNITY CARE Organization | Pharmacy (Community/Retail Pharmacy) | 920 CHURCH ST LEBANON, PA 17046 (717) 325-8072 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497306336, enumerated in the NPI registry as an "individual" on September 23, 2019
The provider is located at 920 Church St Lebanon, Pa 17046 and the phone number is (717) 272-2700
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.88 with an average copayment of $21.22 for new patient appointments. Established patients should expect a typical charge of $96.82 and an average copayment of 24.2. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 23, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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