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

Eric Blaze Degelow

Individual provider Nurse Practitioner · NPI 1790483105

Eric Blaze Degelow is a Nurse Practitioner in Harrisburg, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Medical Associates, a 42-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2023
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Practice location Address checks out

111 S Frnt ST
Harrisburg, PA 17101-2010
Phone: (717) 231-8772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SPO27130 (PA)

Record details

NPI number1790483105
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 16, 2023
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023
Mailing address111 S Front St, Harrisburg, PA 17101-2010

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Medical Associates — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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