Individual provider Active NPI

Carley Lynn McCormick, CRNP

  • Women's Health Nurse Practitioner
  • New Cumberland, PA
National Provider Identifier
1063114932
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP030518 Issued in PA
Practice address
1752 Peyton Randolph CT
New Cumberland, PA 17070-2226
Phone
(717) 343-2753
NPI assigned
Mar 21, 2023
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP030518 PA Primary
Ambulatory Women's Health Care Registered Nurse 163WW0101X RN565552 PA

Addresses

Primary practice location

1752 Peyton Randolph CT
New Cumberland, PA 17070-2226

Mailing address

1752 Peyton Randolph CT
New Cumberland, PA 17070-2226
Phone (717) 343-2753

Other practice location 1

4300 Londonderry Rd Ste 202
Harrisburg, PA 17109-5317
Phone (717) 545-5000

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
I20241004002379 PA Practitioner - Nurse Practitioner 4981135654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

4300 Londonderry Rd
Suite 202
Harrisburg, PA 17109-5317
Phone (717) 545-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN565552PAMDAmbulatory Women's Health Care Registered Nurse
SP030518PAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Sep 1, 2024 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Sep 1, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2024 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

1251 E Main St
Ste 3
Annville, PA 17003
Phone (717) 988-0555

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

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

4300 Londonderry Rd
Ste 202
Harrisburg, PA 17109
Phone (717) 545-5000

2150 Noll Dr
Ste 200
Lancaster, PA 17603
Phone (717) 874-4297

Interoperability endpoints

  • Direct secure messaging: cmccormick296002@upmc.direct-ci.com

Organizations & group practices 6

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 7

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": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1063114932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 PEYTON RANDOLPH CT",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170702226",
            "telephone_number": "717-343-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 PEYTON RANDOLPH CT",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170702226",
            "telephone_number": "717-343-2753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Londonderry Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095317",
            "country_code": "US",
            "telephone_number": "717-545-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "CARLEY",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP030518",
            "primary": true
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "PA",
            "license": "RN565552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Cumberland, PA

Sources for this page

Verify at the official NPI Registry.