Kirsten Ellen Bubb, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP013148 Issued in PA

Practice address

45 Bellefonte Ave
Suite #2
Lock Haven, PA 17745

Phone

(570) 858-5328

Fax

(570) 858-5355

NPI assigned

Sep 13, 2013

Last updated

Nov 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kirsten Ellen Lazorka Former name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Haven Health and Wellness LLCGroup PAC ID 6608317029, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Home Healthcare Home health agency, Williamsport, PA, CCN 397006
• Upmc Williamsport Hospital, Williamsport, PA, CCN 390045

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kirstenbubbcrnp@fpc.medentdirect.com
• Direct secure messaging: kirstenbubbcrnp@havenhealth.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haven Health and Wellness LLC

  • Family Medicine Physician
  • Lock Haven, PA
  • NPI 1871328211
  Medicare reassignment Care Compare group NPD
• Family Practice Center, PC

  • Physical Therapist
  • Middleburg, PA
  • NPI 1154376937

  Nurse Practitioner

  Medicare reassignment NPD
• Family Practice Center, PC

  • Clinical Medical Laboratory
  • Selinsgrove, PA
  • NPI 1033322466
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Home Healthcare of Central Pennsylvania

  dba Susquehanna Home Care and Hospice Services

  • Home Health Agency
  • Williamsport, PA
  • NPI 1881189256
  Care Compare affiliation
• Upmc Williamsport

  dba The Williamsport Hospital & Medical Center

  • Land Ambulance
  • Williamsport, PA
  • NPI 1093890360

  Hospital

  Care Compare affiliation
• Upmc Williamsport

  dba Williamsport Regional Medical Center SPU- Divine Providence Campus

  • Ambulatory Surgical Clinic/Center
  • Williamsport, PA
  • NPI 1225500770

  Hospital

  Care Compare affiliation
• Upmc Williamsport

  • Ambulatory Surgical Clinic/Center
  • Williamsport, PA
  • NPI 1285719559

  Hospital

  Care Compare affiliation
• Upmc Williamsport

  dba Williamsport Regional Medical Center

  • General Acute Care Hospital
  • Williamsport, PA
  • NPI 1609801976
  Care Compare affiliation
• Upmc Williamsport

  • Psychiatric Hospital Unit
  • Williamsport, PA
  • NPI 1649746488
  Care Compare affiliation
• Upmc Williamsport

  • General Acute Care Hospital
  • Williamsport, PA
  • NPI 1740365097
  Care Compare affiliation
• Upmc Williamsport

  • Primary Care Clinic/Center
  • Williamsport, PA
  • NPI 1982788048

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1134554751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BELLEFONTE AVE",
            "address_2": "SUITE #2",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "17745",
            "telephone_number": "570-858-5328",
            "fax_number": "570-858-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 BELLEFONTE AVE",
            "address_2": "SUITE #2",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "17745",
            "telephone_number": "570-858-5328",
            "fax_number": "570-858-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBB",
        "first_name": "KIRSTEN",
        "middle_name": "ELLEN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN574721",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP013148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KirstenBubbCRNP@fpc.medentdirect.com",
            "affiliation": "Y",
            "affiliationName": "FAMILY PRACTICE CENTER, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1205 River Ave Fl 1",
            "city": "Williamsport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177013724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "LAZORKA",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nevin Brooks, PT
• Nieyana Alea Brooks
• Abby Lynn Brown, L.S.W.
• Lynn A Bruner, PH.D
• Michael T Bruning, M.ED, BSL
• Shataya Leigh Buxton
• Jena Caprio, CRNP
• Dominic Joseph Caputo
• Stefano R Carpenetti, DO
• Haley Carpenter

• Nurse Practitioner in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.