Individual provider Active NPI

Karen Marie Kline, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bradford, PA
National Provider Identifier
1114548468
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP021888 Issued in PA
Practice address
110 Campus Dr
Bradford, PA 16701-1982
Phone
(814) 362-6536
Fax
(814) 817-2113
NPI assigned
Apr 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP021888 PA Primary

Addresses

Primary practice location

110 Campus Dr
Bradford, PA 16701-1982

Mailing address

110 Campus Dr
Bradford, PA 16701-1982
Phone (814) 362-6536

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
I20200611001654 PA Practitioner - Nurse Practitioner 8628490018 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Guidance CenterGroup PAC ID 6103864681, 13 clinicians

Practice addresses (Care Compare)

110 Campus Dr
Bradford, PA 16701-1982
Phone (814) 362-6535

Hospital & facility affiliations

  • Olean General Hospital Hospital, Olean, NY, CCN 330103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Center for Treatment and Education CurrentSince Jun 1, 2020 Accepting new patients
Deerfield Behavioral Health of Warren, LLC CurrentSince May 1, 2020 Accepting new patients
Children'S Center for Treatment and Education Current Accepting new patients
The Guidance Center CurrentSince Nov 22, 2021 Accepting new patients

Locations

110 Campus Dr
Bradford, PA 16701
Phone (814) 362-6535

47 Beacon Light Way
Bradford, PA 16701

23 Kennedy St
Bradford, PA 16701
Phone (814) 723-1832

623 Elm St
Tionesta, PA 16353
Phone 8148171400 ext. 1411

1885 Market St
Warren, PA 16365
Phone (814) 723-1832

514 W 3rd Ave
Warren, PA 16365
Phone (814) 723-5545

Organizations & group practices 4

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 2

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": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1114548468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CAMPUS DR",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011982",
            "telephone_number": "814-362-6536",
            "fax_number": "814-817-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CAMPUS DR",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011982",
            "telephone_number": "814-362-6536",
            "fax_number": "814-817-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP021888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

Verify at the official NPI Registry.