Individual provider Active NPI

Kaitlin L Feldenzer, CRNP

  • Nurse Practitioner
  • York, PA
National Provider Identifier
1457709552
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP018955 Issued in PA
Practice address
2350 Freedom Way Ste 200
York, PA 17402-8200
Phone
(717) 812-5120
Fax
(717) 741-3075
NPI assigned
May 31, 2016
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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 637937 PA
Nurse Practitioner 363L00000X SP018955 PA Primary

Addresses

Primary practice location

2350 Freedom Way Ste 200
York, PA 17402-8200

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 812-5120

Other practice location 1

4300 Londonderry Rd
Harrisburg, PA 17109
Phone (717) 657-7500

Other names 1

  • Miss Kaitlin L Darkes 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
I20180718000147 PA Practitioner - Nurse Practitioner 9739436015 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2350 Freedom Way
Suite 200
York, PA 17402-8200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
637937PAMDRegistered Nurse
SP018955PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Nurse Practitioner CurrentSince Dec 15, 2018 Accepting new patients
Wellspan Medical Group CurrentSince Jun 6, 2022 Accepting new patients
Upmc Hillman Cancer Center-Pinnacle CurrentSince Nov 1, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 18, 2018 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group Nurse Practitioner CurrentSince Jun 6, 2022 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 18, 2018 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Dec 15, 2018 Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

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

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

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

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

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

1703 Innovation Dr
Ste 2001
York, PA 17408
Phone (717) 801-0739

2350 Freedom Way
Ste 200
York, PA 17402
Phone (717) 812-5120

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

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Interoperability endpoints

  • Direct secure messaging: kfeldenzer300873@wellspan.direct-ci.com

Organizations & group practices 9

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 4

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1457709552",
    "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": "717-812-5120",
            "fax_number": "717-741-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 FREEDOM WAY STE 200",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028200",
            "telephone_number": "717-812-5120",
            "fax_number": "717-741-3075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Londonderry Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "17109",
            "country_code": "US",
            "telephone_number": "717-657-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDENZER",
        "first_name": "KAITLIN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "637937",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "DARKES",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "MSN, RN, OCN, CHPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.