Tracy Ann Kellenberger, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA055406 Issued in PA

Practice address

306 N 7TH St
Columbia, PA 17512-2137

Phone

(717) 684-9106

Fax

(717) 684-1666

NPI assigned

Apr 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lancaster General Health - Columbia CenterGroup PAC ID 1254241359, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tkellenbergerpac79905@direct-lghealth.org

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.

• Lancaster General Health - Columbia Center

  • Family Medicine Physician
  • Columbia, PA
  • NPI 1700972338
  Medicare reassignment Care Compare group NPD
• Lancaster General Medical Group

  • Psychiatry Physician
  • Lancaster, PA
  • NPI 1952392383
  Medicare reassignment
• Lancaster General Medical Group

  • Orthopaedic Surgery Physician
  • Lancaster, PA
  • NPI 1164137287
  NPD
• Lancaster General Medical Group

  • Obstetrics & Gynecology Physician
  • Lancaster, PA
  • NPI 1306724570
  NPD
• Lancaster General Medical Group

  • Family Medicine Physician
  • Strasburg, PA
  • NPI 1316912785
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lancaster General Hospital

  • General Acute Care Hospital
  • Lancaster, PA
  • NPI 1104875103
  Care Compare affiliation
• Lancaster General Hospital

  • General Acute Care Hospital
  • Parkesburg, PA
  • NPI 1245571942
  Care Compare affiliation
• Lancaster General Hospital

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1538290424

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1447517776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WOODS AVE",
            "city": "CONESTOGA",
            "state": "PA",
            "postal_code": "175169586",
            "telephone_number": "717-872-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N 7TH ST",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175122137",
            "telephone_number": "717-684-9106",
            "fax_number": "717-684-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLENBERGER",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiju 5 Dental LLC
• Janairo F. Hernandez,MD,PC
• John Martin Jensen Jr., DO
• John C Kepple, OD
• Johnson Hand Controls
• Mikayla Kemmerly Kemmerly
• Kaitlyn Keyser, RN
• Rubana Khan, DO
• Jeffrey J Klunk, MS
• Michael K. Knolle, DO

• Physician Assistant in Columbia, PA
• Providers in Columbia, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.