Kelly A Deah, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP012067 Issued in PA

Practice address

100 Eisenhower Dr
Hanover, PA 17331-5241

Phone

(717) 646-4201

Fax

(717) 646-4202

NPI assigned

Apr 4, 2012

Last updated

Oct 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdeah276487@wellspan.direct-ci.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.

• Urgent Care, PC - Pennsylvania

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1982839031
  Medicare reassignment NPD
• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment NPD
• Medexpress Urgent Care, PC - Pennsylvania

  dba MedExpress Urgent Care - Williamsport

  • Urgent Care Clinic/Center
  • Williamsport, PA
  • NPI 1467744375
  NPD
• Medexpress Urgent Care, PC - Pennsylvania

  dba MedExpress Urgent Care - St. Clair, Clover Dr

  • Urgent Care Clinic/Center
  • Saint Clair, PA
  • NPI 1720545320
  NPD
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  dba WellSpan Family Medicine - ELCO

  • Family Medicine Physician
  • Myerstown, PA
  • NPI 1659822187
  NPD

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1154687101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-646-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EISENHOWER DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315241",
            "telephone_number": "717-646-4201",
            "fax_number": "717-646-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAH",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029989380059",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David J Thurman OD PC
• David M. Drew, DO
• David R. Ross DDS, PC
• Karen Davis
• Angela M Day, BSW
• Laura M Dean, RDN, LDN
• Cortlin Dell
• Kathryn M Demarre, MD
• Connie A Denney, P.A.-C
• Michael Richard Denney, DO

• Family Nurse Practitioner in Hanover, PA
• Providers in Hanover, 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 Oct 18, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.