Individual provider Active NPI

Kelsey Elizabeth Cunningham, CRNP

  • Family Nurse Practitioner
  • Erie, PA
National Provider Identifier
1457996092
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021129 Issued in PA
Practice address
4950 Buffalo Rd
Erie, PA 16510-2304
Phone
(814) 899-7000
NPI assigned
Nov 7, 2019
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP021129 PA Primary

Addresses

Primary practice location

4950 Buffalo Rd
Erie, PA 16510-2304

Mailing address

4950 Buffalo Rd
Erie, PA 16510-2304
Phone (814) 899-7000

Other practice location 1

2315 Myrtle St Ste 190
Erie, PA 16502-4604
Phone (814) 453-7767 ext. 2227

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kcunningham149919@direct.ahn.org

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
I20191231001934 PA Practitioner - Nurse Practitioner 7517391402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

4950 Buffalo Rd
Erie, PA 16510-2304
Phone (814) 899-7000

5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP021129PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc CurrentSince Apr 27, 2022 Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

213 E 41st St
Erie, PA 16504
Phone (814) 452-5772

2315 Myrtle St
Ste 190
Erie, PA 16502
Phone (814) 453-7767

232 W 25th St
Ste Chf
Erie, PA 16544

4247 W Ridge Rd
Ste 105
Erie, PA 16506
Phone (814) 453-7767

4950 Buffalo Rd
Erie, PA 16510
Phone (814) 898-2576

4950 Buffalo Rd
Ste 1
Erie, PA 16510

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1457996092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102304",
            "telephone_number": "814-899-7000",
            "fax_number": "814-899-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102304",
            "telephone_number": "814-899-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 Myrtle St Ste 190",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165024604",
            "country_code": "US",
            "telephone_number": "814-453-7767 x2227",
            "fax_number": "814-454-8638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KELSEY",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcunningham149919@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2315 Myrtle St Ste 190",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165024604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.