Kaela Duffy

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

SP030509 Issued in PA

Practice address

3200 Center Valley Pkwy
Center Valley, PA 18034-9519

Phone

(610) 242-0345

NPI assigned

Jul 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Telehealth LLCGroup PAC ID 6608156906, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc. Home health agency, Allentown, PA, CCN 397533
• Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11391/brand/2/csg/21/fhir/r4

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.

• American Telehealth, LLC

  dba CCS Healthcare

  • General Practice Physician
  • Mount Laurel, NJ
  • NPI 1245600022

  PA

  Medicare reassignment Care Compare group
• Good Shepherd Rehabilitation Hospital

  dba Good Shepherd Physician Group

  • Physical Medicine & Rehabilitation Physician
  • Allentown, PA
  • NPI 1427035039
  Medicare reassignment NPD
• Good Shepherd Rehabilitation Hospital

  • Rehabilitation Hospital
  • Center Valley, PA
  • NPI 1255374799
  NPD

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Allentown, PA
  • NPI 1942571617
  Care Compare affiliation
• Good Shepherd Rehabilitation Hospital

  • Rehabilitation Hospital
  • Center Valley, PA
  • NPI 1255374799

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1053149815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CENTER VALLEY PKWY",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180349519",
            "telephone_number": "610-242-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CENTER VALLEY PKWY",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180349519",
            "telephone_number": "610-242-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "KAELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "PA",
            "license": "RN707573",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP030509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augest Derenthal, OTR/L
• Kate Dewar, DO
• Jamie Diefenderfer, RN
• Anna Dimarcello, LPC
• Dr. Mary Rutkowski (center valley chiropractic)
• Leslie Dunkelberger, MSN, FNP-BC
• Kevin Dunn, MD, DABFM
• Nancy J. Eisenhauer, PA-C
• Sherley Lisa Exime, PA-C
• Family Pillars Palliative Care Hospice LLC

• Acute Care Nurse Practitioner in Center Valley, PA
• Providers in Center Valley, PA by specialty
• Acute Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.