Mary A Bennett-Kramer, CRNP
Individual provider Active NPI Family Nurse Practitioner · Harrisburg, PA
NPI 1124560289 · NPPES record last updated Jan 16, 2021
Key facts
- NPI
- 1124560289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- SP016652 (PA)
- Practice address
- 4300 Londonderry Rd
Harrisburg, PA 17109-5317 - Phone
- (717) 231-8772
- Fax
- (717) 231-8435
- NPI assigned
- Nov 7, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pinnacle Health Hospitalist Services LLC
Practice addresses (Care Compare)
4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 657-7332
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.15 of 100
- Quality
- 88.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161220000671 | PA | Practitioner - Nurse Practitioner | 8921389578 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP016652 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Hospitalist Services LLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044
Interoperability endpoints
- mbennettkramer281568@upmc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP016652 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP016652 | PA | Yes |
Addresses
Primary practice location
4300 Londonderry Rd
Harrisburg, PA 17109-5317
Mailing address
4300 Londonderry Rd
Harrisburg, PA 17109-5317
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103218620 | Medicaid | PA |
Other names
- Ms. Mary A Mueller
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbennettkramer46631@phsdirect.pinnaclehealth.org |
Other providers in Harrisburg, PA
- Cameron Elise Benedict
- Guy Anthony Bennardo
- Nathan Benner
- Nicole I Benner
- Rodney S Benner
- Emilie Bennett
- Joshua Henry Bennett
- Morgan Bennett
- Sandra Renee Bennett
- Kayla Bensch
All providers in Harrisburg, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.