Individual provider Active NPI

Kaitlyn Marie Bretz, FNP-C

  • Nurse Practitioner
  • Carlisle, PA
National Provider Identifier
1447989751
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP025802 Issued in PA
Practice address
2 Jennifer CT Ste B
Carlisle, PA 17015-7694
Phone
(717) 960-3750
Fax
(717) 960-3734
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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 F05220579 PA
Nurse Practitioner 363L00000X SP025802 PA Primary

Addresses

Primary practice location

2 Jennifer CT Ste B
Carlisle, PA 17015-7694

Mailing address

2 Jennifer CT Ste B
Carlisle, PA 17015-7694
Phone (717) 960-3750

Other names 1

  • Kaitlyn Marie Eberhart Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address keberhart224416@phsdirect.pinnaclehealth.org Direct

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
I20220727001554 PA Practitioner - Nurse Practitioner 8325420102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Hillman Cancer Center-PinnacleGroup PAC ID 4284044934, 42 clinicians

Practice addresses (Care Compare)

2 Jennifer CT
Suite C
Carlisle, PA 17015-7694
Phone (717) 960-3750

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 724-6780

Hospital & facility affiliations

  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151

Merit-based Incentive Payment System (MIPS)

Final score
87.91 of 100Reported as group
Quality
78.29
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F05220579PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Hillman Cancer Center-Pinnacle CurrentSince Jul 1, 2022 Accepting new patients

Locations

2 Jennifer Ct
Ste C
Carlisle, PA 17015
Phone (717) 218-9830

25 Sprint Dr
Carlisle, PA 17015
Phone (717) 737-5767

4300 Londonderry Rd
Ste 302
Harrisburg, PA 17109
Phone (717) 724-6780

Interoperability endpoints

  • Direct secure messaging: kbretz424694@upmc.direct-ci.com

Organizations & group practices 1

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1447989751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JENNIFER CT STE B",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157694",
            "telephone_number": "717-960-3750",
            "fax_number": "717-960-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JENNIFER CT STE B",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157694",
            "telephone_number": "717-960-3750",
            "fax_number": "717-960-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETZ",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "F05220579",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP025802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keberhart224416@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "25 Sprint Dr",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170157696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "EBERHART",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.