NPIMap

Individual provider Active NPI

Kera Melissa Cussins, PA-C

  • Physician Assistant
  • Mercersburg, PA
National Provider Identifier
1427895879
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA065705 Issued in PA
Practice address
2 Keefer Dr
Mercersburg, PA 17236-1732
Phone
(717) 328-2119
NPI assigned
Jul 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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 MA065705 PA Primary

Addresses

Primary practice location

2 Keefer Dr
Mercersburg, PA 17236-1732

Mailing address

477 Easy Dr
Lucinda, PA 16235-2209
Phone (814) 221-0239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240925004610 PA Practitioner - Physician Assistant 4183165491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

2 Keefer Dr
Mercersburg, PA 17236-1732
Phone (717) 328-2119

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Sep 9, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Sep 9, 2024 Accepting new patients
Wellspan Medical Group Physician Assistant Past Accepting new patients

Locations

354 Alexander Spring Rd
Ste 3
Carlisle, PA 17015
Phone (717) 217-6820

2 Keefer Dr
Mercersburg, PA 17236
Phone (717) 328-2115

46 Walnut Bottom Rd
#200
Shippensburg, PA 17257
Phone (717) 532-4148

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: kcussins450917@wellspan.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1427895879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 EASY DR",
            "city": "LUCINDA",
            "state": "PA",
            "postal_code": "162352209",
            "telephone_number": "814-221-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KEEFER DR",
            "city": "MERCERSBURG",
            "state": "PA",
            "postal_code": "172361732",
            "telephone_number": "717-328-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSSINS",
        "first_name": "KERA",
        "middle_name": "MELISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercersburg, PA

Sources for this page

Verify at the official NPI Registry.