Individual provider Active NPI

Kristie Marie Nardell, M.D.

  • Psychiatry Physician
  • Moosic, PA
National Provider Identifier
1063537108
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD0670232 Issued in PA
Practice address
340 Montage Mountain Rd
Moosic, PA 18507-1782
Phone
(570) 346-3686
Fax
(570) 558-6838
NPI assigned
Mar 20, 2007
Last updated
Sep 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD0670232 PA Primary

Addresses

Primary practice location

340 Montage Mountain Rd
Moosic, PA 18507-1782

Mailing address

340 Montage Mountain Rd
Moosic, PA 18507-1782
Phone (570) 346-3686

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091028000084 PA Practitioner - Psychiatry 9032256839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Pennsylvania State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew a Berger MD PCGroup PAC ID 5991791212, 51 clinicians

Practice addresses (Care Compare)

340 Montage Mountain Rd
Moosic, PA 18507-1707
Phone (570) 346-3686

340 Montage Mountain Rd
Moosic, PA 18507-1782

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
69.53
Promoting interoperability
80
Improvement activities
40
Cost
67.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0670232PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew a Berger MD PC Psychiatry CurrentSince Aug 1, 2014 Accepting new patients
Wilkes-Barre Behavioral Hospital Company LLC Psychiatry Past Accepting new patients

Locations

340 Montage Mountain Rd
Moosic, PA 18507
Phone (570) 344-9266

Interoperability endpoints

  • Direct secure messaging: kristien@berger.medentdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1063537108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MONTAGE MOUNTAIN RD",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071782",
            "telephone_number": "570-346-3686",
            "fax_number": "570-558-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MONTAGE MOUNTAIN RD",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071782",
            "telephone_number": "570-346-3686",
            "fax_number": "570-558-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDELL",
        "first_name": "KRISTIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD0670232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moosic, PA

Sources for this page

Verify at the official NPI Registry.