Individual provider Active NPI

Carlene M Barkley, CRNP

  • Family Nurse Practitioner
  • Columbia, PA
National Provider Identifier
1396096194
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012234 Issued in PA
Practice address
100 Merlini Dr Ste 2a
Columbia, PA 17512-9706
Phone
(717) 684-3663
Fax
(717) 684-1721
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP012234 PA
Family Nurse Practitioner 363LF0000X SP012234 PA Primary

Addresses

Primary practice location

100 Merlini Dr Ste 2a
Columbia, PA 17512-9706

Mailing address

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-5681

Other practice location 1

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-5681

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbarkley59780@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
I20121116000213 PA Practitioner - Nurse Practitioner 4688825862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
SP012234PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Nurse Practitioner CurrentSince Nov 1, 2017 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Nov 1, 2017 Accepting new patients
Pinnacle Health Medical Services PastSince Jan 31, 2021 Accepting new patients
Pinnacle Health Regional Physicians PastSince Jan 31, 2021 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

1786 Columbia Ave
#C
Columbia, PA 17512
Phone (717) 684-3663

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1396096194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-5681",
            "fax_number": "717-544-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERLINI DR STE 2A",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175129706",
            "telephone_number": "717-684-3663",
            "fax_number": "717-684-1721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 N Duke St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176022250",
            "country_code": "US",
            "telephone_number": "717-544-5681",
            "fax_number": "717-544-4665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKLEY",
        "first_name": "CARLENE",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP012234",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbarkley59780@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "100 Merlini Dr Ste 2A",
            "city": "Columbia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "175129706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, PA

Sources for this page

Verify at the official NPI Registry.