Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Peter Benjamin Kingsley, PA-C

Individual provider Physician Assistant · NPI 1184399941

Peter Benjamin Kingsley, PA-C is a Physician Assistant in Lancaster, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in District of Columbia.

Years since qualifying
5
Licensed in
DC
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

810 Plaza Blvd
Lancaster, PA 17601-2762
Phone: (717) 394-5088
Fax: (717) 394-5590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 561 W Trout Run Rd, Ephrata, PA 17522-9604 — (717) 394-5088

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA200001206 (DC)

Record details

NPI number1184399941
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 13, 2021
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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