Krishan Keck, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP024041 Issued in PA

Practice address

1013 Mumma Rd Ste 202
Wormleysburg, PA 17043-1144

Phone

(717) 648-1269

Fax

(717) 229-8051

NPI assigned

Nov 19, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Keck Health

  • Family Nurse Practitioner
  • Camp Hill, PA
  • NPI 1770342461
  NPD Authorized official

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1114684685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 MUMMA RD STE 202",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431144",
            "telephone_number": "717-648-1269",
            "fax_number": "717-229-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 MUMMA RD STE 202",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431144",
            "telephone_number": "717-648-1269",
            "fax_number": "717-229-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECK",
        "first_name": "KRISHAN",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-19",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan R Jones, RBT
• Steven R Jones, M.D.
• Joshua Bowman Counseling LLC
• Sunil Kanwal, MD
• Christian A Kcomt, M.D.
• Sydney Keys
• Mary Killmeyer
• Susan A Kurtz, LSW, LPC
• Vincent Joseph Laird, PMHNP-BC
• Molly Leitzell

• Family Nurse Practitioner in Wormleysburg, PA
• Providers in Wormleysburg, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.