Individual provider Active NPI

Kaitlyn Keyser, RN

  • Family Nurse Practitioner
  • Columbia, PA
National Provider Identifier
1417764788
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP031968 Issued in PA
Practice address
369 Locust St
Columbia, PA 17512-1383
Phone
(717) 342-2577
NPI assigned
Dec 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN566831 PA
Family Nurse Practitioner 363LF0000X SP031968 PA Primary

Addresses

Primary practice location

369 Locust St
Columbia, PA 17512-1383

Mailing address

116 S George St
York, PA 17401-1474
Phone (717) 801-4846

Other names 1

  • Kaitlyn Kirlin 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
I20250218001633 PA Practitioner - Nurse Practitioner 1254851520 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN566831PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Health Corporation CurrentSince Apr 7, 2025 Accepting new patients
Family First Health Corporation CurrentSince Apr 7, 2025 Accepting new patients
Family First Health Corporation PastSince Apr 28, 2024 Accepting new patients

Locations

1275 York Rd
Ste 17
Gettysburg, PA 17325
Phone (717) 337-9400

1230 High St
Hanover, PA 17331
Phone (717) 632-9052

300 Willow St
Lebanon, PA 17046
Phone (717) 273-8835

308 Market St
Lewisberry, PA 17339
Phone (717) 938-6695

101 W College Ave
Rm C106
York, PA 17401
Phone (717) 801-4800

116 S George St
York, PA 17401
Phone (717) 801-4846

415 E Boundary Ave
York, PA 17403
Phone (717) 843-5174

Interoperability endpoints

  • Direct secure messaging: kaitlyn.keyser.1@7492.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1417764788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474",
            "telephone_number": "717-801-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 LOCUST ST",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175121383",
            "telephone_number": "717-342-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYSER",
        "first_name": "KAITLYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN566831",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "KIRLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, PA

Sources for this page

Verify at the official NPI Registry.