Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth A Petcov, CRNP

Individual provider Nurse Practitioner · NPI 1720504152

Elizabeth A Petcov, CRNP is a Nurse Practitioner in Lebanon, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

252 S 4th St
Lebanon, PA 17042-6111
Phone: (717) 270-4876
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 169 Martin Ave, Ephrata, PA 17522-1734 — (717) 721-4740
  • 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 — (717) 686-9842
  • 720 Norman Dr, Lebanon, PA 17042-7481 — (717) 639-3230

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP017652 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence MC4527581 (PA)
Hospitalist Physician Taxonomy 208M00000X · Licence SP017652 (PA)

Record details

NPI number1720504152
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 17, 2017
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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