Provider profile

Rina BaughmanCRNP

Nurse Practitioner, Family

2 locationsNPI 1437903549
430 N Main St, Spring Grove, PA 17362717-851-6500

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Medicare Advantage plans for York County, PA.

Checked Oct 14, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 42 Medicare Advantage plans for 2027

Carrier directories and Medicare.gov provider data list Rina on these plans. Review each plan's covered offices before enrolling. One directory didn't answer this time; we'll try it again.

The 99 Medicare Advantage plans we show for York County, PA in 2027

  • 42 list Rina
  • 48 not listed
  • 9 not checked yet

Aetna Medicare

11 plans list Rina; not listed on 1 other plan.

11plans
  • Aetna Medicare Advantra Eagle Plus (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 105 4th St, East Berlin, PA, 17316

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH3959-041-000Medicare.gov
    $0a month
  • Aetna Medicare Advantra Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 105 4th St, East Berlin, PA, 17316

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH5522-004-000Medicare.gov
    $0a month
  • Aetna Medicare Advantra Signature Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 105 4th St, East Berlin, PA, 17316

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH5522-017-000Medicare.gov
    $0a month
  • Aetna Medicare Signature Extra (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 105 4th St, East Berlin, PA, 17316

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-263-000Medicare.gov
    $0a month

Capital Blue Cross · Highmark Blue Cross Blue Shield or Highmark Blue Shield

9 plans list Rina.

9plans
  • Capital Blue Cross Essential (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Ste 4, Spring Grove, PA, 17362
    • 671 Wilson Ave, Hanover, PA, 17331
    • 207 Blooming Grove Rd, Hanover, PA, 17331
    • 1000 Carlisle St, Ste 1175, Hanover, PA, 17331
    • 1150 Carlisle St, Ste 20, Hanover, PA, 17331
    • 106 4th St, East Berlin, PA, 17316
    • 108 4th St, East Berlin, PA, 17316
    • 105 4th St, East Berlin, PA, 17316
    • 2500 S George St, York, PA, 17403
    • 1575 Bannister St, York, PA, 17404
    • 4021 Carlisle Rd, Dover, PA, 17315
    • 1550 Kenneth Rd, York, PA, 17408
    • Carlisle Rd, Dover, PA, 17315
    • Health Ctr4020 Dover Rd, Dover, PA, 17315

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3962-022-005Medicare.gov
    $0a month
  • Capital Blue Cross Value (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Ste 4, Spring Grove, PA, 17362
    • 671 Wilson Ave, Hanover, PA, 17331
    • 207 Blooming Grove Rd, Hanover, PA, 17331
    • 1000 Carlisle St, Ste 1175, Hanover, PA, 17331
    • 1150 Carlisle St, Ste 20, Hanover, PA, 17331
    • 106 4th St, East Berlin, PA, 17316
    • 108 4th St, East Berlin, PA, 17316
    • 105 4th St, East Berlin, PA, 17316
    • 2500 S George St, York, PA, 17403
    • 1575 Bannister St, York, PA, 17404
    • 4021 Carlisle Rd, Dover, PA, 17315
    • 1550 Kenneth Rd, York, PA, 17408
    • Carlisle Rd, Dover, PA, 17315
    • Health Ctr4020 Dover Rd, Dover, PA, 17315

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH3923-045-005Medicare.gov
    $0a month
  • Community Blue Medicare HMO Signature (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Spring Grove, PA, 17362
    • 430 N Main St, Ste 4, Spring Grove, PA, 17362

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH3957-042-007Medicare.gov
    $0a month
  • Capital Blue Cross Basic (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Ste 4, Spring Grove, PA, 17362
    • 671 Wilson Ave, Hanover, PA, 17331
    • 207 Blooming Grove Rd, Hanover, PA, 17331
    • 1000 Carlisle St, Ste 1175, Hanover, PA, 17331
    • 1150 Carlisle St, Ste 20, Hanover, PA, 17331
    • 106 4th St, East Berlin, PA, 17316
    • 108 4th St, East Berlin, PA, 17316
    • 105 4th St, East Berlin, PA, 17316
    • 2500 S George St, York, PA, 17403
    • 1575 Bannister St, York, PA, 17404
    • 4021 Carlisle Rd, Dover, PA, 17315
    • 1550 Kenneth Rd, York, PA, 17408
    • Carlisle Rd, Dover, PA, 17315
    • Health Ctr4020 Dover Rd, Dover, PA, 17315

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH3923-049-005Medicare.gov
    $28a month

8 more Capital Blue Cross plans haven't been checked yet.

Geisinger Gold

8 plans list Rina.

8plans
  • Geisinger Gold Classic Essential Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Spring Grove, PA, 17362

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3954-161-000Medicare.gov
    $0a month
  • Geisinger Gold Heritage (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Spring Grove, PA, 17362

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3954-162-000Medicare.gov
    $0a month
  • Geisinger Gold Preferred Complete Rx (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Spring Grove, PA, 17362

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH3924-065-000Medicare.gov
    $0a month
  • Geisinger Gold Value Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Spring Grove, PA, 17362

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3954-163-000Medicare.gov
    $29a month

1 more Geisinger Gold plan hasn't been checked yet.

Jefferson Health Plans

8 plans list Rina.

8plans
  • Jefferson Health Plans Complete (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Spring Grove, PA, 17362

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-012-000Medicare.gov
    $0a month
  • Jefferson Health Plans Flex (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Spring Grove, PA, 17362

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH1619-001-000Medicare.gov
    $0a month
  • Jefferson Health Plans Giveback (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Spring Grove, PA, 17362

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-015-000Medicare.gov
    $0a month
  • Jefferson Health Plans Prime (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Spring Grove, PA, 17362

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-002-000Medicare.gov
    $12.80a month

UnitedHealthcare

4 plans list Rina; not listed on 8 other plans.

4plans
  • UHC Dual Complete PA-S002 (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Ste 4, Spring Grove, PA, 17362

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3 starsH3113-009-000Medicare.gov
    $0a month
  • UHC Dual Complete PA-S3 (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Ste 4, Spring Grove, PA, 17362

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3 starsH3113-016-000Medicare.gov
    $0a month
  • UHC Dual Complete PA-S001 (PPO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Ste 4, Spring Grove, PA, 17362

    This result applies to these offices. Other locations are not confirmed.

    PPOFor people with Medicare and MedicaidDrug coverage3.5 starsH1889-007-000Medicare.gov
    $11.70a month
  • UHC Dual Advantage PA-V1 (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Ste 4, Spring Grove, PA, 17362

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3 starsH3113-014-000Medicare.gov
    $12.80a month

Wellcare

2 plans list Rina; not listed on 1 other plan.

2plans
  • Wellcare PA Health & Wellness Dual Liberty Sync (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Spring Grove, PA, 17362

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3.5 starsH2915-002-000Medicare.gov
    $0a month
  • Wellcare PA Health & Wellness Dual Select (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 430 N Main St, Spring Grove, PA, 17362

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3.5 starsH2915-018-000Medicare.gov
    $0a month

Devoted

Not listed on its 10 plans here. That isn't proof they're out of network.

HealthSpring

Not listed on its 3 plans here. That isn't proof they're out of network.

Highmark Wholecare Medicare Assured

Not listed on its 2 plans here. That isn't proof they're out of network.

Humana

Not listed on its 12 plans here. That isn't proof they're out of network.

Perennial Advantage

Not listed on its 1 plan here. That isn't proof they're out of network.

UPMC for Life

Not listed on its 8 plans here. That isn't proof they're out of network.

UPMC for Life Complete Care

Not listed on its 1 plan here. That isn't proof they're out of network.

VISTA Health Plan Inc.

Not listed on its 1 plan here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Rina takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

2 practice locations

430 N Main St
Spring Grove, PA 17362

NPI Registry

1401 Roosevelt Ave
York, PA 17404

NPI Registry
NPI issued
2024
Registry record updated
Apr 7, 2025

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Rina Baughman?

In York County, PA, 42 Medicare Advantage plans for 2027 list Rina in provider data from Medicare.gov or the carrier, including Aetna Medicare Advantra Eagle Plus (HMO-POS), Aetna Medicare Advantra Signature (PPO) and Aetna Medicare Advantra Signature Giveback (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Rina Baughman take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists Rina on 11 Medicare Advantage plans for 2027 in York County, PA, including Aetna Medicare Advantra Eagle Plus (HMO-POS) and Aetna Medicare Advantra Signature (PPO). 1 other plan did not return a listing in the search area. CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Does Rina Baughman take Capital Blue Cross Medicare Advantage plans?

Medicare.gov provider data lists Rina on 9 Medicare Advantage plans for 2027 in York County, PA, including Capital Blue Cross Essential (HMO) and Capital Blue Cross Value (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Capital Blue Cross before you enroll.

Does Rina Baughman take Geisinger Gold Medicare Advantage plans?

Medicare.gov provider data lists Rina on 8 Medicare Advantage plans for 2027 in York County, PA, including Geisinger Gold Classic Essential Rx (HMO) and Geisinger Gold Heritage (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Geisinger Gold before you enroll.

Where does Rina Baughman practice?

2 locations, including 430 N Main St, Spring Grove, PA. All of them are listed on this page.

How do I confirm Rina is in my plan's network?

Call the member services number on your plan card and give them the NPI 1437903549, or ask a Silverpath advisor to check for you. It's free.

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Talk to a licensed advisor

A Silverpath advisor can confirm Rina's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Rina Baughman on 38 plans from Devoted, HealthSpring, Highmark Wholecare Medicare Assured, Humana, Perennial Advantage, UPMC for Life, UPMC for Life Complete Care and VISTA Health Plan Inc. in York County, PA. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2025-04-07). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 14, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Rina Baughman or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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