Individual provider Active NPI

Kelly Jo Kline, CNM

  • Advanced Practice Midwife
  • Ebensburg, PA
National Provider Identifier
1023743531
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW010689 Issued in PA
Practice address
152 Zeman Dr Ste 102
Ebensburg, PA 15931-4130
Phone
(814) 471-2271
Fax
(814) 471-2216
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X MW010689 PA Primary

Addresses

Primary practice location

152 Zeman Dr Ste 102
Ebensburg, PA 15931-4130

Mailing address

152 Zeman Dr Ste 102
Ebensburg, PA 15931-4130
Phone (814) 471-2277

Other practice location 1

2918 6th Ave
Altoona, PA 16602-1917
Phone (814) 944-6055

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907000880 PA Practitioner - Certified Nurse Midwife (CNM) 0648654871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

300 Halket St
Pittsburgh, PA 15213-3108

Hospital & facility affiliations

  • Upmc Altoona Hospital, Altoona, PA, CCN 390073

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
MW010689PAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Sep 1, 2022 Accepting new patients
University of Pittsburgh Physicians Advanced Practice Midwife CurrentSince Sep 1, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients
Upmc Altoona Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Core Network, LLC PastSince Sep 4, 2022 Accepting new patients

Locations

2918 6th Ave
Altoona, PA 16602
Phone (814) 889-2626

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

Interoperability endpoints

  • Direct secure messaging: kelly.j.kline@upmcdirect.com
  • Direct secure messaging: kkline140002@upmc.direct-ci.com

Organizations & group practices 7

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 4

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1023743531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 ZEMAN DR STE 102",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314130",
            "telephone_number": "814-471-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 ZEMAN DR STE 102",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314130",
            "telephone_number": "814-471-2271",
            "fax_number": "814-471-2216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2918 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166021917",
            "country_code": "US",
            "telephone_number": "814-944-6055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINE",
        "first_name": "KELLY",
        "middle_name": "JO",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

Verify at the official NPI Registry.