NPIMap

Individual provider Active NPI

Caitlyn Kaczor, CRNP

  • Gerontology Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1275921330
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP014525 Issued in PA
Practice address
205 South Front Street
6TH Floor Bma
Harrisburg, PA 17104-1619
Phone
(717) 988-9370
Fax
(717) 703-0154
NPI assigned
Dec 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP014525 PA
Adult Health Nurse Practitioner 363LA2200X SP014525 PA
Gerontology Nurse Practitioner 363LG0600X SP014525 PA Primary

Addresses

Primary practice location

205 South Front Street
6TH Floor Bma
Harrisburg, PA 17104-1619

Mailing address

205 South Front Street
6TH Floor Bma
Harrisburg, PA 17104-1619
Phone (717) 988-9370

Other practice location 1

601 Spruce St
West Reading, PA 19611-1443
Phone (484) 628-8900 ext. 2049

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
I20150227000775 PA Practitioner - Nurse Practitioner 1850617358 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Univ of Pennsylvania School of Dental Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Tower Health Medical GroupGroup PAC ID 7618889213, 578 clinicians

Practice addresses (Care Compare)

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

2610 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (484) 750-3950

301 S 7TH Ave
Radiology Tower Health Medical Group
West Reading, PA 19611-1442
Phone (484) 628-8112

420 S 5TH Ave
West Reading, PA 19611-2143

601 Spruce St
West Reading, PA 19611-1443
Phone (484) 628-8900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP014525PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville Clinic Company LLC CurrentSince Dec 1, 2025 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Dec 1, 2025 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group CurrentSince Jan 12, 2015 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Tower Health Medical Group CurrentSince Oct 31, 2016 Accepting new patients
Tower Health Medical Group CurrentSince Oct 31, 2016 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2023 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2023 Accepting new patients
Phoenixville Clinic Company LLC Nurse Practitioner Current Accepting new patients
Tower Health Medical Group Past Accepting new patients

Locations

205 S Front St
Fl Bma
Harrisburg, PA 17104

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

205 S Front St
Fl 6
Harrisburg, PA 17104
Phone (717) 231-8343

500 University Dr
#A4
Hershey, PA 17033
Phone (717) 531-6261

500 University Dr
#41
Hershey, PA 17033
Phone (717) 531-8202

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

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

420 W Linfield Trappe Rd
Ste 2000
Limerick, PA 19468
Phone (610) 495-0095

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

601 Spruce St
West Reading, PA 19611
Phone (484) 628-8900

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1419379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1275921330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SOUTH FRONT STREET",
            "address_2": "6TH FLOOR BMA",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041619",
            "telephone_number": "717-988-9370",
            "fax_number": "717-703-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SOUTH FRONT STREET",
            "address_2": "6TH FLOOR BMA",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041619",
            "telephone_number": "717-988-9370",
            "fax_number": "717-703-0154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Spruce St",
            "address_purpose": "LOCATION",
            "city": "West Reading",
            "state": "PA",
            "postal_code": "196111443",
            "country_code": "US",
            "telephone_number": "484-628-8900 x2049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACZOR",
        "first_name": "CAITLYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-24",
        "last_updated": "2023-07-07",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP014525",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP014525",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP014525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.