Individual provider Active NPI

Carleen Ann Myers, CRNP

  • Primary Care Nurse Practitioner
  • York, PA
National Provider Identifier
1003847997
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP000524A Issued in PA
Practice address
1600 6TH Ave
Ste 117
York, PA 17403-2626
Phone
(717) 840-9885
Fax
(717) 840-9313
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP000524A PA
Primary Care Nurse Practitioner 363LP2300X SP000524A PA Primary

Addresses

Primary practice location

1600 6TH Ave
Ste 117
York, PA 17403-2626

Mailing address

1600 6TH Ave
Ste 117
York, PA 17403-2626
Phone (717) 840-9885

Other practice location 1

1600 6th Ave Ste 114
York, PA 17403-2627
Phone (717) 845-9639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP000524APAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Pinnacle Health Medical Services Nurse Practitioner Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cmyers1039434@upmc.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1003847997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 6TH AVE",
            "address_2": "STE 117",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032626",
            "telephone_number": "717-840-9885",
            "fax_number": "717-840-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 6TH AVE",
            "address_2": "STE 117",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032626",
            "telephone_number": "717-840-9885",
            "fax_number": "717-840-9313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 6th Ave Ste 114",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174032627",
            "country_code": "US",
            "telephone_number": "717-845-9639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CARLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP000524A",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP000524A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.