Anne Elizabeth Kehrli Novakoski, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA051499 Issued in PA

Practice address

300 State Street
Ste 302
Erie, PA 16507

Phone

(814) 877-5700

Fax

(814) 877-5655

NPI assigned

Aug 29, 2006

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1215045372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 STATE ST",
            "address_2": "SUITE 16 LL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011341",
            "telephone_number": "814-480-7100",
            "fax_number": "814-480-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE STREET",
            "address_2": "STE 302",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16507",
            "telephone_number": "814-877-5700",
            "fax_number": "814-877-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHRLI NOVAKOSKI",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY MEDICAL ASSISTANCE",
            "identifier": "02822457",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00375056",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026532402",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00090109",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peyton C Kedzierski, DOCTORATE
• Michele Keegan
• Jordan Keeler
• Allison Faye Keenan, AU.D., FAAA
• Beverly Ann Keep, MA, NCC, LPC
• Keith C. Schloss D.M.D.
• Tasha Keith
• Evelyn Keller, RN, BSN
• Bethany Kelley, PA-C
• Janet E Kelley, CRNP

• Physician Assistant in Erie, PA
• Providers in Erie, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.