NPIMap

Individual provider Active NPI

Kristin Lenore Shute, DO

  • Diagnostic Radiology Physician
  • Hershey, PA
National Provider Identifier
1073074753
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS023613 Issued in PA
Practice address
500 University Dr
Hershey, PA 17033-2391
Phone
(717) 531-1368
Fax
(717) 531-2077
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OT019072 PA
Diagnostic Radiology Physician 2085R0202X OS023613 PA Primary

Addresses

Primary practice location

500 University Dr
Hershey, PA 17033-2391

Mailing address

500 University Dr
MC Ca410
Hershey, PA 17033-2360
Phone (717) 531-5208

Other names 1

  • Kristin Lenore Day Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613004283 PA Practitioner - Diagnostic Radiology 5597091082 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-3261

401 E Murphy Ave
Connellsville, PA 15425-2724
Phone (724) 628-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS023613PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Monongahela Valley Hospital Inc Current Accepting new patients
Monongahela Valley Hospital, Inc. CurrentSince Jul 28, 2025 Accepting new patients
Monongahela Valley Hospital, Inc. CurrentSince Jul 28, 2025 Accepting new patients
Highlands Hospital and Health Center Current Accepting new patients
Dubois Regional Medical Center Diagnostic Radiology CurrentSince Jul 28, 2025 Accepting new patients
Highlands Hospital and Health Center CurrentSince Jul 28, 2025 Accepting new patients
Dubois Regional Medical Center CurrentSince Jul 28, 2025 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients

Locations

3025 Market St
Camp Hill, PA 17011
Phone (717) 691-1212

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

Organizations & group practices 9

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 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1073074753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "address_2": "MC CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-5208",
            "fax_number": "717-531-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332391",
            "telephone_number": "717-531-1368",
            "fax_number": "717-531-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTE",
        "first_name": "KRISTIN",
        "middle_name": "LENORE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT019072",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS023613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "DAY",
            "middle_name": "LENORE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.