Kelly Hahn, CRNP
Individual provider Active NPI Nurse Practitioner · New Holland, PA
NPI 1023565280 · NPPES record last updated May 11, 2022
Key facts
- NPI
- 1023565280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- SP016460 (PA)
- Practice address
- 435 S Kinzer Ave
New Holland, PA 17557-8706 - Phone
- (717) 766-2413
- Fax
- (717) 315-2419
- NPI assigned
- Sep 6, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220518000157 | PA | Practitioner - Nurse Practitioner | 5799066304 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP016460 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current |
Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
717 S 8th St
Lebanon, PA 17042
Phone (717) 270-2336
435 S Kinzer Ave
Ste 10
New Holland, PA 17557
Phone (717) 351-2454
435 S Kinzer Ave
New Holland, PA 17557
Phone (717) 351-2419
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
Interoperability endpoints
- khahn301079@wellspan.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 20486 | SC | |
| Nurse Practitioner | 363L00000X | SP016460 | PA | Yes |
Addresses
Primary practice location
435 S Kinzer Ave
New Holland, PA 17557-8706
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 766-2413
Other providers in New Holland, PA
- Aaron B Goetz
- Lucille Edith Gonzalez
- John Andrew Goodman
- Karsten L. Grinderslev
- Sharon Fay Guinther
- Laura Sheaffer Harkin
- Cynthia Harnish
- Hearing Professionals of America LLC
- Hearing Renewed
- Beth Hershey
All providers in New Holland, PA · Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.