Individual provider Active NPI

Kristin Michele Grover, PA-C

  • Medical Physician Assistant
  • Carlisle, PA
National Provider Identifier
1013346196
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA056305 Issued in PA
Practice address
5 Brookwood Ave Ste 1
Carlisle, PA 17015-9576
Phone
(717) 249-2424
Fax
(717) 249-4534
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA056305 PA Primary
Medical Physician Assistant 363AM0700X OA003099 PA

Addresses

Primary practice location

5 Brookwood Ave Ste 1
Carlisle, PA 17015-9576

Mailing address

5 Brookwood Ave Ste 1
Carlisle, PA 17015-9576
Phone (717) 249-2424

Other practice location 1

43 West Ridge Pike
Limerick, PA 19468
Phone (610) 226-6200

Other practice location 2

6481 Carlisle Pike
Mechanicsburg, PA 17050-2377
Phone (717) 516-6396

Other identifiers 1

IdentifierTypeStateIssuer
103383089MedicaidPA

Other names 1

  • Mrs. Kristin Michele Bauer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140129000439 PA Practitioner - Physician Assistant 3476782186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

5 Brookwood Ave
Suite 1
Carlisle, PA 17015-9576
Phone (717) 249-2424

Hospital & facility affiliations

  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA056305PAMDMedical Physician Assistant
OA003099PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Mar 1, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 1, 2023 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

5 Brookwood Ave
Ste 1
Carlisle, PA 17015
Phone (717) 249-2424

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

6481 Carlisle Pike
Mechanicsburg, PA 17050
Phone (717) 516-6396

Interoperability endpoints

  • Direct secure messaging: kgrover289318@upmc.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1013346196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BROOKWOOD AVE STE 1",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159576",
            "telephone_number": "717-249-2424",
            "fax_number": "717-249-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BROOKWOOD AVE STE 1",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159576",
            "telephone_number": "717-249-2424",
            "fax_number": "717-249-4534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 West Ridge Pike",
            "address_purpose": "LOCATION",
            "city": "Limerick",
            "state": "PA",
            "postal_code": "19468",
            "country_code": "US",
            "telephone_number": "610-226-6200",
            "fax_number": "610-226-6201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6481 Carlisle Pike",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170502377",
            "country_code": "US",
            "telephone_number": "717-516-6396",
            "fax_number": "717-620-8093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVER",
        "first_name": "KRISTIN",
        "middle_name": "MICHELE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056305",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA003099",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103383089",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "BAUER",
            "middle_name": "MICHELE",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.