Individual provider Active NPI

Kristen Lea Spatafora, MSN, CRNP, FNP-C

  • Family Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1356154454
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11240719 Issued in PA
Practice address
625 S Duke St
Lancaster, PA 17602-4509
Phone
(717) 299-6371
NPI assigned
Jan 31, 2025
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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 F11240719 PA Primary

Addresses

Primary practice location

625 S Duke St
Lancaster, PA 17602-4509

Mailing address

558 Koser Rd
Lititz, PA 17543-9362
Phone (717) 380-9335

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
I20250210000301 PA Practitioner - Nurse Practitioner 0042740839 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F11240719PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care Current Accepting new patients
Union Community Care CurrentSince Feb 5, 2025 Accepting new patients
Union Community Care CurrentSince Feb 5, 2025 Accepting new patients
Union Community Care Past Accepting new patients

Locations

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

454 New Holland Ave
Ste 300
Lancaster, PA 17602
Phone (717) 299-6372

625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372

802 New Holland Ave
Ste 200
Lancaster, PA 17602
Phone (717) 291-0700

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

Interoperability endpoints

  • Direct secure messaging: kristen.spatafora.1@14261.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1356154454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 KOSER RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439362",
            "telephone_number": "717-380-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024509",
            "telephone_number": "717-299-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATAFORA",
        "first_name": "KRISTEN",
        "middle_name": "LEA",
        "credential": "MSN, CRNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "F11240719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.