Individual provider Active NPI

Connie D Kiser, DNP, CRNP

  • Adult Health Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1013999762
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
VP004297M Issued in PA
Practice address
685 Good Dr
Lancaster, PA 17601-2426
Phone
(717) 295-3900
Fax
(717) 391-9582
NPI assigned
Nov 17, 2005
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X VP004297M PA
Adult Health Nurse Practitioner 363LA2200X VP004297M PA Primary

Addresses

Primary practice location

685 Good Dr
Lancaster, PA 17601-2426

Mailing address

PO Box 4125
Lancaster, PA 17604-4125
Phone (717) 295-3900

Other names 1

  • Connie Bowen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckiser1@pennstatehealth.psu.edu Health Information Exchange (HIE)

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
I20050617000449 PA Practitioner - Nurse Practitioner 7517861115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palliative Medicine ConsultantsGroup PAC ID 4587732623, 7 clinicians

Practice addresses (Care Compare)

685 Good Dr
Lancaster, PA 17601-2426
Phone (717) 735-3131

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
VP004297MPAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Jan 2, 2018 Accepting new patients
Lancaster General Hospital CurrentSince Jan 2, 2018 Accepting new patients
Palliative Medicine Consultants CurrentSince Jan 8, 2024 Accepting new patients
Choices Healthcare PastSince Jan 8, 2024 Accepting new patients
The Heart Group of the Laurel Highlands PC Acute Care Past Accepting new patients

Locations

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

2160 State Rd
Lancaster, PA 17601
Phone (223) 287-8222

2160 State Rd
Ste 1700
Lancaster, PA 17601
Phone (223) 287-8155

217 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 397-5484

217 Harrisburg Ave
Ste 200
Lancaster, PA 17603
Phone (717) 397-5484

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

685 Good Dr
Lancaster, PA 17601
Phone (717) 295-3900

4075 Old Harrisburg Pike
Mount Joy, PA 17552
Phone (717) 735-9661

1001 S George St
York, PA 17403
Phone (717) 812-7687

25 Monument Rd
Ste 200
York, PA 17403
Phone (717) 741-4690

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Organizations & group practices 5

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

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1013999762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4125",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176044125",
            "telephone_number": "717-295-3900",
            "fax_number": "717-391-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 GOOD DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012426",
            "telephone_number": "717-295-3900",
            "fax_number": "717-391-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "CONNIE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "DNP, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "VP004297M",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "VP004297M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckiser1@pennstatehealth.psu.edu",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hospital email  save",
            "address_1": "2160 State Rd",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176011812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "BOWEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.