Individual provider Active NPI

Mary Kay Stauffer, CRNP

  • Family Nurse Practitioner
  • York, PA
National Provider Identifier
1407522808
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024123 Issued in PA
Practice address
717 Town Center Drive
York, PA 17408-4824
Phone
(717) 356-4240
Fax
(717) 356-4241
NPI assigned
Aug 17, 2021
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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 SP024123 PA Primary

Addresses

Primary practice location

717 Town Center Drive
York, PA 17408-4824

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 356-4240

Other names 1

  • Mary Kay Kinert Former name

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
I20210908000324 PA Practitioner - Nurse Practitioner 7517363120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

950 S Octorara Trail
PM LGHP Urgent Care Parkesburg
Parkesburg, PA 19365-2100
Phone (610) 857-6639

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024123PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince May 14, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince May 14, 2024 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

1097 Commercial Ave
East Petersburg, PA 17520
Phone (717) 544-1952

5665 Main St
East Petersburg, PA 17520
Phone (717) 569-7011

418 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 653-1467

101 Larkspur Ln
Ephrata, PA 17522
Phone (717) 738-0660

1261 Division Hwy
#1
Ephrata, PA 17522
Phone (717) 738-0660

434 Springville Rd
Ste 100
Ephrata, PA 17522
Phone (717) 456-0620

5360 Lincoln Hwy
Ste 15
Gap, PA 17527
Phone (717) 442-8111

100 N Queen St
Ste 200
Lancaster, PA 17603
Phone (717) 544-3555

1655 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-2678

2110 Harrisburg Pike
Ste 100
Lancaster, PA 17601
Phone (717) 544-3191

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

2128 Embassy Dr
Lancaster, PA 17603
Phone (717) 509-5090

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1701 Cornwall Rd
Ste 201
Lebanon, PA 17042
Phone (717) 675-1750

201 Rock Lititz Blvd
Ste 14
Lititz, PA 17543
Phone (717) 544-3555

51 Peters Rd
Ste 201
Lititz, PA 17543
Phone (717) 544-6260

562 W 2nd Ave
Lititz, PA 17543
Phone (717) 626-2167

546 N Penryn Rd
Manheim, PA 17545
Phone (717) 544-8075

1159 River Rd
#F
Marietta, PA 17547
Phone (717) 426-1131

1001 Cornerstone Dr
#B
Mount Joy, PA 17552
Phone (717) 653-2929

1475 Strickler Rd
Ste 100
Mount Joy, PA 17552
Phone (610) 507-0556

676 E Main St
New Holland, PA 17557
Phone (717) 354-4671

950 S Octorara Trl
Parkesburg, PA 19365
Phone (610) 857-6616

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 3

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1407522808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-356-4240",
            "fax_number": "717-356-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 TOWN CENTER DRIVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174084824",
            "telephone_number": "717-356-4240",
            "fax_number": "717-356-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "MARY",
        "middle_name": "KAY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY KAY",
            "last_name": "KINERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.