Individual provider Active NPI

Andrea Lauren Kilgore, PA-C

  • Physician Assistant
  • York, PA
National Provider Identifier
1336437037
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054992 Issued in PA
Practice address
1701 Innovation Dr
York, PA 17408-8815
Phone
(717) 843-8623
Fax
(717) 862-5576
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA054992 PA Primary

Addresses

Primary practice location

1701 Innovation Dr
York, PA 17408-8815

Mailing address

1701 Innovation Dr
York, PA 17408-8815
Phone (717) 843-8623

Other practice location 1

1600 6th Ave
suite 108
York, PA 17403-2626
Phone (717) 849-5576

Other identifiers 1

IdentifierTypeStateIssuer
103158610MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akilgore62218@phsdirect.pinnaclehealth.org

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
I20120801000720 PA Practitioner - Physician Assistant 4385890680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Hospitalist Services LLCGroup PAC ID 9739313545, 180 clinicians

Practice addresses (Care Compare)

1701 Innovation Dr
York, PA 17408-8815
Phone (717) 843-8623

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 657-7332

Hospital & facility affiliations

  • Upmc Memorial Hospital, York, PA, CCN 390101

Merit-based Incentive Payment System (MIPS)

Final score
93.15 of 100Reported as group
Quality
88.49
Promoting interoperability
100
Improvement activities
40
Cost
72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA054992PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Physician Assistant CurrentSince Jul 1, 2017 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2017 Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

1600 6th Ave
Ste 108
York, PA 17403
Phone (717) 356-4705

1701 Innovation Dr
York, PA 17408
Phone (717) 843-8623

1232 Greensprings Dr
York, PA 17402
Phone (717) 207-4800

Interoperability endpoints

  • Direct secure messaging: akilgore292846@upmc.direct-ci.com

Organizations & group practices 3

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 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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1336437037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 INNOVATION DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815",
            "telephone_number": "717-843-8623",
            "fax_number": "717-862-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 INNOVATION DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815",
            "telephone_number": "717-843-8623",
            "fax_number": "717-862-5576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 6th Ave",
            "address_2": "suite 108",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174032626",
            "country_code": "US",
            "telephone_number": "717-849-5576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "ANDREA",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103158610",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akilgore62218@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1701 Innovation Dr",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174088815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.