Kimberly Jeanette Mielke, CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

SP024749 Issued in PA

Practice address

700 Lawn Ave
Sellersville, PA 18960-1548

NPI assigned

Jan 7, 2022

Last updated

Jan 7, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Wellsboro Hospital, Wellsboro, PA, CCN 391316

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

94.87

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.j.mielke@upmcdirect.com
• Direct secure messaging: kmielke431623@upmc.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.

• Susquehanna Physician Services

  dba Susquehanna Health Medical Group

  • Cardiovascular Disease Physician
  • Williamsport, PA
  • NPI 1861431116

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Rwjbh Observation Associates LLC

  • Emergency Medicine Physician
  • Livingston, NJ
  • NPI 1760095806

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Montgomery County Pulmonary and Sleep Consultants PC

  • Pulmonary Disease Physician
  • East Norriton, PA
  • NPI 1932156791

  Multi-Specialty

  Medicare reassignment NPD
• Rwjbh Emergency Medicine Associates, LLC

  • Emergency Medicine Physician
  • Somerset, NJ
  • NPI 1912510041

  Multi-Specialty

  Medicare reassignment NPD
• Susquehanna Physician Services

  • Radiology Clinic/Center
  • Mansfield, PA
  • NPI 1073361564
  NPD

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

• Upmc Wellsboro

  • Internal Medicine Physician
  • Wellsboro, PA
  • NPI 1275090433

  Hospital

  Care Compare affiliation
• Upmc Wellsboro

  • Critical Access Hospital
  • Wellsboro, PA
  • NPI 1427501766
  Care Compare affiliation

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1275294548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST",
            "city": "KNOXVILLE",
            "state": "PA",
            "postal_code": "169289747",
            "telephone_number": "570-439-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIELKE",
        "first_name": "KIMBERLY",
        "middle_name": "JEANETTE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP024749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David William McTague, P.A.-C
• Shannon Meenan
• Stasia Mento-Moloney, M.A.
• Andrew Meyer Mersky, D.O.
• Michael Brown LLC
• Timothy Miles, R.N.
• Elise Miller, PA-C
• Stephanie A Miller, BA
• Tara Nicole Miller
• Todd E Miller, M.S.W.

• Acute Care Nurse Practitioner in Sellersville, PA
• Providers in Sellersville, PA by specialty
• Acute Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.