Active NPI
Carleen Ann Myers, CRNP
- Primary Care Nurse Practitioner
- York, PA
National Provider Identifier
1003847997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- SP000524A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP000524A | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Pinnacle Health Medical Services | Nurse Practitioner | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Mechanicsburg, PA
- NPI 1518918523
Nurse Practitioner
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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.