Active NPI
Patricia Ann Kane, CRNP
- Nurse Practitioner
- Montoursville, PA
National Provider Identifier
1083675854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP007483
- Practice address
- 900 Plaza Dr
Montoursville, PA 17754-2448 - Phone
- (570) 368-8621
- Fax
- (570) 368-8652
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP007483 | PA | Primary |
| Family Nurse Practitioner | 363LF0000X | SP007483 | PA |
Addresses
Primary practice location
900 Plaza Dr
Montoursville, PA 17754-2448
Mailing address
1201 Grampian Blvd
PO Box 3127
Williamsport, PA 17701-0127
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008709140003 | Medicaid | PA | |
| 1008709140002 | Medicaid | PA | |
| P01859 | Other | PA | HEALTHAMERICA |
| 2009868 | Other | PA | UNITEDHEALTHCARE |
| 1008709140001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP007483 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1083675854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 GRAMPIAN BLVD",
"address_2": "PO BOX 3127",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177010127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PLAZA DR",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177542448",
"telephone_number": "570-368-8621",
"fax_number": "570-368-8652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP007483",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP007483",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008709140003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008709140002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA",
"identifier": "P01859",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "2009868",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008709140001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montoursville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.