Kaitlin L Feldenzer, CRNP
Individual provider Active NPI Nurse Practitioner · York, PA
NPI 1457709552 · NPPES record last updated Apr 6, 2022
Key facts
- NPI
- 1457709552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- SP018955 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- 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
- Wellspan York Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180718000147 | PA | Practitioner - Nurse Practitioner | 9739436015 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 637937 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Upmc Hillman Cancer Center-Pinnacle | Current |
Accepting new patients | |
| Pinnacle Health Regional Physicians | Current |
Accepting new patients | |
| Wellspan Medical Group | Nurse Practitioner | Current |
Accepting new patients |
| Pinnacle Health Medical Services | Current |
Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Pinnacle Health Regional Physicians | Nurse Practitioner | Current |
Accepting new patients |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current |
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
4300 Londonderry Rd
Ste 302
Harrisburg, PA 17109
Phone (717) 724-6780
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
Lower Paxton, PA 17109
Phone (717) 597-7044
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
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
Interoperability endpoints
- kfeldenzer300873@wellspan.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 637937 | PA | |
| Nurse Practitioner | 363L00000X | SP018955 | PA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103511661 | Medicaid | PA |
Other names
- Miss Kaitlin L Darkes
Other providers in York, PA
- Matthew David Feeser
- Lindsey Fegely
- Donna Fehrenbach
- Nina Esther Feinberg
- Michael F Felcone
- Christiana Femano
- Fepa Homecare Agency LLC
- Charles F Ferchalk
- William Peter Ferencz
- Kathryn Louise Ferree
All providers in York, PA · Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.