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

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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