Individual provider Active NPI

Kelly Jo Wolfkill, FNP-BC

  • Family Nurse Practitioner
  • Newport, PA
National Provider Identifier
1124761986
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025240 Issued in PA
Practice address
300 Bretz CT Ste 100
Newport, PA 17074-8615
Phone
(717) 567-3174
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN518066L PA
Family Nurse Practitioner 363LF0000X SP025240 PA Primary

Addresses

Primary practice location

300 Bretz CT Ste 100
Newport, PA 17074-8615

Mailing address

300 Bretz CT Ste 100
Newport, PA 17074-8615
Phone (717) 567-3174

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwolfkill222061@phsdirect.pinnaclehealth.org

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
I20220512002820 PA Practitioner - Nurse Practitioner 1759768773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

300 Bretz CT
Suite 100
Newport, PA 17074-8615
Phone (717) 988-8170

Hospital & facility affiliations

  • Accentcare Home Health of Central Pennsylvania Home health agency, Elizabethtown, PA, CCN 398062
  • Residential Home Health of Carlisle, LLC Home health agency, Mechanicsburg, PA, CCN 397047
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN518066LPAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2022 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

300 Bretz Ct
Ste 100
Newport, PA 17074
Phone (717) 567-3174

300 Bretz Ct
Newport, PA 17074
Phone (717) 567-3174

Interoperability endpoints

  • Direct secure messaging: kwolfkill308098@upmc.direct-ci.com

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 9

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": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1124761986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BRETZ CT STE 100",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748615",
            "telephone_number": "717-567-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BRETZ CT STE 100",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748615",
            "telephone_number": "717-567-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFKILL",
        "first_name": "KELLY",
        "middle_name": "JO",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN518066L",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwolfkill222061@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "300 Bretz Ct",
            "city": "Newport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170748614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport, PA

Sources for this page

Verify at the official NPI Registry.