Kaitlyn Ayn Keller, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP030115 Issued in PA

Practice address

425 N 21St St Ste 301
Camp Hill, PA 17011-2223

Phone

(717) 761-4844

NPI assigned

Jul 26, 2024

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

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ENT Surgery Group PCGroup PAC ID 6305829730, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
• Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkeller123@entsurgerygroup.emadirect.md

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.

• ENT Surgery Group PC

  • Specialist
  • Camp Hill, PA
  • NPI 1770696833
  Medicare reassignment Care Compare group NPD

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

• Penn State Health Holy Spirit Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Camp Hill, PA
  • NPI 1659566008

  Hospital

  Care Compare affiliation
• Penn State Health Holy Spirit Medical Center

  • General Acute Care Hospital
  • Camp Hill, PA
  • NPI 1881690212
  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
  • NPI 1164526588

  Hospital

  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • General Acute Care Hospital
  • Harrisburg, PA
  • NPI 1265537674
  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
  • NPI 1346344769

  Hospital

  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • General Acute Care Hospital
  • Harrisburg, PA
  • NPI 1407813603
  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
  • NPI 1528940962

  Hospital

  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Mechanicsburg, PA
  • NPI 1922425651

  Hospital

  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • General Acute Care Hospital
  • Mechanicsburg, PA
  • NPI 1972613305
  Care Compare affiliation

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1235967555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 KING ST",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399578",
            "telephone_number": "303-827-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N 21ST ST STE 301",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112223",
            "telephone_number": "717-761-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KAITLYN",
        "middle_name": "AYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keck Health
• Mary Keeley, CPM
• Maggie L Keenan, DPT
• Holly Keister, CRNP
• Miranda Kellenberger
• Daisy M Kelley, RN
• Laura Marie Kelley, RN
• Catherine Kellner
• Joseph Kelly, RN
• Matthew James Kelly, M.D.

• Family Nurse Practitioner in Camp Hill, PA
• Providers in Camp Hill, 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 Jul 29, 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.