NPIMap

Individual provider Active NPI

Kenzie Lyn Oberdorf, CRNP

  • Family Nurse Practitioner
  • Leechburg, PA
National Provider Identifier
1285311811
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP027763 Issued in PA
Practice address
116 Main St
Leechburg, PA 15656-1333
Phone
(724) 845-1211
NPI assigned
Jul 5, 2023
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP027763 PA Primary

Addresses

Primary practice location

116 Main St
Leechburg, PA 15656-1333

Mailing address

116 Main St
Leechburg, PA 15656-1333

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
I20230829003974 PA Practitioner - Nurse Practitioner 1850754409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Medical Arts BLDG
Suite 300
Kittanning, PA 16201-7129
Phone (724) 545-1288

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
SP027763PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Armstrong County Memorial Hospital CurrentSince Sep 1, 2023 Accepting new patients
Armstrong County Memorial Hospital Current Accepting new patients
Armstrong County Memorial Hospital CurrentSince Sep 1, 2023 Accepting new patients
Armstrong County Memorial Hospital Past Accepting new patients
Glade Run Medical Associates Inc Past Accepting new patients

Locations

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

1 Nolte Dr
Ste 120
Kittanning, PA 16201
Phone (724) 543-8164

260 S Jefferson St
Kittanning, PA 16201
Phone (724) 543-5919

300 Medical Arts Bldg
#300
Kittanning, PA 16201
Phone (724) 543-8784

116 Main St
Leechburg, PA 15656
Phone (724) 845-1211

Interoperability endpoints

  • Direct secure messaging: kenzie.oberdorf@1ah.eclinicaldirectplus.com

Organizations & group practices 5

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 10

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1285311811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MAIN ST",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156561333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MAIN ST",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156561333",
            "telephone_number": "724-845-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERDORF",
        "first_name": "KENZIE",
        "middle_name": "LYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leechburg, PA

Sources for this page

Verify at the official NPI Registry.