NPIMap

Individual provider Active NPI

Kelsey Koontz

  • Physician Assistant
  • Port Matilda, PA
National Provider Identifier
1275158115
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061679 Issued in PA
Practice address
132 Abigail LN
Port Matilda, PA 16870-7153
Phone
(814) 272-5011
Fax
(814) 272-6531
NPI assigned
Jun 16, 2020
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA061679 PA Primary
Surgical Physician Assistant 363AS0400X OA005245 PA

Addresses

Primary practice location

132 Abigail LN
Port Matilda, PA 16870-7153

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (814) 272-5011

Other practice location 1

121 Towne Square Dr Ste 301
Hershey, PA 17033-9440
Phone (717) 988-8320

Other practice location 2

503 N 21st St
Camp Hill, PA 17011-2204
Phone (717) 531-5638

Other practice location 3

800 S Logan Blvd
Suite 2200
Hollidaysburg, PA 16648-3050
Phone (814) 889-3600

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kkoontz254919@phsdirect.pinnaclehealth.org
Direct Messaging Address kelsey.i.koontz@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200812001400 PA Practitioner - Physician Assistant 0749606465 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1201 Grampian Blvd
Williamsport, PA 17701-1965

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

416 S Main St
Mansfield, PA 16933-1510

700 High St
Williamsport, PA 17701-3100

700 High St
Williamsport, PA 17701-3198

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
62.07
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Merit-based Incentive Payment System (MIPS)

Final score
79.88 of 100Reported as group
Quality
62.63
Promoting interoperability
100
Improvement activities
40
Cost
70.3

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA061679PAMDPhysician Assistant
OA005245PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services CurrentSince Mar 15, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2023 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Nov 19, 2024 Accepting new patients
Old Mission Wound Care Pennsylvania PLLC CurrentSince Aug 25, 2025 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2023 Accepting new patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Nov 19, 2024 Accepting new patients
Susquehanna Physician Services Physician Assistant CurrentSince Mar 15, 2022 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

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

121 Towne Square Dr
Ste 301
Hershey, PA 17033
Phone (717) 988-8320

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

800 S Logan Blvd
Ste 2200
Hollidaysburg, PA 16648
Phone (814) 889-3600

8105 Adams Dr
Ste C
Hummelstown, PA 17036
Phone (717) 782-5506

3100 Schoolhouse Rd
Middletown, PA 17057
Phone (717) 948-5180

322 N Shore Dr
Ste 200
Pittsburgh, PA 15212
Phone (281) 857-3677

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

1201 Grampian Blvd
Ste 2F
Williamsport, PA 17701
Phone (570) 320-7598

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

225 Matlage Way
Unit 31
Sugar Land, TX 77487

Interoperability endpoints

  • Direct secure messaging: kkoontz425154@upmc.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1275158115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "814-272-5011",
            "fax_number": "814-272-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ABIGAIL LN",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707153",
            "telephone_number": "814-272-5011",
            "fax_number": "814-272-6531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Towne Square Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170339440",
            "country_code": "US",
            "telephone_number": "717-988-8320",
            "fax_number": "717-221-5397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "503 N 21st St",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170112204",
            "country_code": "US",
            "telephone_number": "717-531-5638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Logan Blvd",
            "address_2": "Suite 2200",
            "address_purpose": "LOCATION",
            "city": "Hollidaysburg",
            "state": "PA",
            "postal_code": "166483050",
            "country_code": "US",
            "telephone_number": "814-889-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061679",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "OA005245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkoontz254919@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "8105 Adams Dr Ste C",
            "city": "Hummelstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170368625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelsey.i.koontz@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Matilda, PA

Sources for this page

Verify at the official NPI Registry.