Individual provider Active NPI

Kristy Dooley-Reinheimer

  • Family Nurse Practitioner
  • Towanda, PA
National Provider Identifier
1295458438
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP026293 Issued in PA
Practice address
380 York Ave
Towanda, PA 18848-2019
Phone
(702) 684-0965
Fax
(570) 265-7824
NPI assigned
Sep 22, 2022
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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 SP026293 PA Primary

Addresses

Primary practice location

380 York Ave
Towanda, PA 18848-2019

Mailing address

380 York Ave
Towanda, PA 18848-2019
Phone (570) 268-4096

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221114002824 PA Practitioner - Nurse Practitioner 9931577434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Physician ServicesGroup PAC ID 2264336460, shared by 32 NPIs, 611 clinicians

Practice addresses (Care Compare)

416 S Main St
Mansfield, PA 16933-1510

6 Riverside PLZ
Blossburg, PA 16912-1137
Phone (570) 638-2174

7 Water St
Wellsboro, PA 16901-1126

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Penn Comprehensive Health Services CurrentSince Aug 26, 2024 Accepting new patients
North Penn Comprehensive Health Services CurrentSince Aug 26, 2024 Accepting new patients
Hoffman Health Partners PC CurrentSince Sep 21, 2022 Accepting new patients
North Penn Comprehensive Health Services Current Accepting new patients

Locations

40 W Wellsboro St
Mansfield, PA 16933
Phone (570) 662-1945

416 S Main St
Mansfield, PA 16933
Phone (570) 662-1900

380 York Ave
Towanda, PA 18848
Phone (570) 268-4096

7 Water St
Wellsboro, PA 16901
Phone (570) 724-1010

Organizations & group practices 4

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 2

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": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1295458438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 YORK AVE",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188482019",
            "telephone_number": "570-268-4096",
            "fax_number": "570-265-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 YORK AVE",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188482019",
            "telephone_number": "702-684-0965",
            "fax_number": "570-265-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY-REINHEIMER",
        "first_name": "KRISTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towanda, PA

Sources for this page

Verify at the official NPI Registry.