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

Mrs. Nisha Gupta, CRNP

Individual provider Family Nurse Practitioner · NPI 1417305335

Mrs. Nisha Gupta, CRNP is a Nurse Practitioner in Lebanon, Pennsylvania. Qualified in 2015, 11 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
11
Licensed in
PA
In the registry since
2016
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

775 Norman Dr
Lebanon, PA 17042-7497
Phone: (717) 274-5500
Fax: (717) 274-5189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP016098 (PA)

Record details

NPI number1417305335
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 1, 2016
Last updated in NPPESApril 6, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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