Individual provider Active NPI

Melinda J. Kottcamp, CRNP

  • Family Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1073052312
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017041 Issued in PA
Practice address
540 N Duke St
Lancaster, PA 17602-2374
Phone
(717) 544-4950
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN592600 PA
Family Nurse Practitioner 363LF0000X SP017041 PA Primary

Addresses

Primary practice location

540 N Duke St
Lancaster, PA 17602-2374

Mailing address

540 N Duke St
Lancaster, PA 17602-2374
Phone (717) 544-4950

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
I20170508002539 PA Practitioner - Nurse Practitioner 3476830035 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, shared by 16 NPIs, 520 clinicians

Practice addresses (Care Compare)

317 Chestnut St
Quarryville, PA 17566-1184
Phone (717) 544-3555

540 N Duke St 3Rd Floor
Penn Med Lanc Gen H. Phys Fam Med Downtown
Lancaster, PA 17602-2374
Phone (717) 544-4950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN592600PAMDRegistered Nurse
SP017041PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Medical Group CurrentSince May 7, 2017 Accepting new patients
Lancaster General Hospital CurrentSince May 7, 2017 Accepting new patients
Lancaster General Hospital CurrentSince May 7, 2017 Accepting new patients
Lancaster General Medical Group CurrentSince May 7, 2017 Accepting new patients
Lancaster General Hospital CurrentSince May 7, 2017 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

694 Good Dr
Ste 11
Lancaster, PA 17601
Phone (717) 544-0040

555 N Duke St
Fl 1
Lancaster, PA 17602
Phone (717) 544-7279

554 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-1960

540 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-4950

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

540 N Duke St
Lancaster, PA 17602
Phone (717) 544-4950

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

Organizations & group practices 8

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 3

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": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1073052312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022374",
            "telephone_number": "717-544-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022374",
            "telephone_number": "717-544-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTCAMP",
        "first_name": "MELINDA",
        "middle_name": "J.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN592600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.