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

Staci Johnston, CRNP

Individual provider Nurse Practitioner · NPI 1104391044

Staci Johnston, CRNP is a Nurse Practitioner in Lancaster, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Penn State Health Medical Group LLC, a 711-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2018
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2112 Harrisburg Pike Ste 202
Lancaster, PA 17601-2644
Phone: (717) 869-4600
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 555 N Duke St, Lancaster, PA 17602-2250 — (717) 869-4600

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP019602 (PA)

Record details

NPI number1104391044
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedOctober 8, 2018
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing address2112 Harrisburg Pike Ste 202, Lancaster, PA 17601-2644

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Penn State Health Medical Group Llc — 711 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lancaster