Active NPI
Andrea Kathleen King, CRNP
- Family Nurse Practitioner
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP016335
- Practice address
- 4000 Linglestown Rd
Harrisburg, PA 17112-1017 - Phone
- (717) 231-8867
- Fax
- (717) 231-8535
- NPI assigned
- Jul 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP016335 | PA | Primary |
Addresses
Primary practice location
4000 Linglestown Rd
Harrisburg, PA 17112-1017
Mailing address
4000 Linglestown Rd
Harrisburg, PA 17112-1017
Phone (717) 231-8867
Other practice location 1
100 Frederick St Ste 101
Hanover, PA 17331-3518
Phone (717) 851-7050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103223639 | Medicaid | PA |
Other names 1
- Andrea K Tanner
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Village Cir
Lancaster, PA 17603-2376
Phone (717) 397-4921
2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363
2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143
2990 Carlisle Pike
New Oxford, PA 17350-9582
Phone (717) 637-1738
3130 Grandview Rd
Hanover, PA 17331-9134
4000 Linglestown Rd
Harrisburg, PA 17112-1017
Phone (717) 231-8508
425 Westminster Avenue
Hanover, PA 17331-9141
Phone (717) 316-3481
600 E Main St
Lititz, PA 17543-2224
Hospital & facility affiliations
- Vna of Hanover and Spring Grove
- Bayada Home Health Care, Inc.
- Enhabit Home Health
- Upmc Hanover
- Wellspan York Hospital
- Gettysburg Hospital
- Upmc Lititz
- Luther Acres Manor
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP016335 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Hanover Health Corporation | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
310 Stock St
Ste 3
Hanover, PA 17331
1404 Baltimore St
Ste 4
Hanover, PA 17331
Phone (717) 637-0470
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
4000 Linglestown Rd
Linglestown, PA 17112
Phone (717) 231-8867
Interoperability endpoints
- aking515068@upmc.direct-ci.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Family Medicine Physician
- Ephrata, PA
- NPI 1043978125
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Family Medicine Physician
- Hanover, PA
- NPI 1083950687
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- York, PA
- NPI 1649523168
-
- Home Health Agency
- Harrisburg, PA
- NPI 1699713503
-
- Home Health Agency
- Lemoyne, PA
- NPI 1710282777
-
- Home Health Agency
- York, PA
- NPI 1093109266
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- Hanover, PA
- NPI 1730158981
-
- General Acute Care Hospital
- Lititz, PA
- NPI 1285167916
-
- Home Health Agency
- Hanover, PA
- NPI 1891741138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1467805754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 LINGLESTOWN RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171121017",
"telephone_number": "717-231-8867",
"fax_number": "717-231-8535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 LINGLESTOWN RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171121017",
"telephone_number": "717-231-8867",
"fax_number": "717-231-8535"
}
],
"practiceLocations": [
{
"address_1": "100 Frederick St Ste 101",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173313518",
"country_code": "US",
"telephone_number": "717-851-7050",
"fax_number": "717-632-7478",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "ANDREA",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP016335",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103223639",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "TANNER",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.