Individual provider Active NPI

Andrea Kathleen King, CRNP

  • Family Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1467805754
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016335 Issued in PA
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

Updated by the provider on Jan 17, 2025

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 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

IdentifierTypeStateIssuer
103223639MedicaidPA

Other names 1

  • Andrea K Tanner 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
I20160930001529 PA Practitioner - Nurse Practitioner 1254628464 Reassigns benefits to 1 organization

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
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

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 Home health agency, Hanover, PA, CCN 397061
  • Bayada Home Health Care, Inc. Home health agency, Harrisburg, PA, CCN 397770
  • Enhabit Home Health Home health agency, York, PA, CCN 398025
  • Upmc Hanover Hospital, Hanover, PA, CCN 390233
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
  • Upmc Lititz Hospital, Lititz, PA, CCN 390068
  • Luther Acres Manor Nursing home, Lititz, PA, CCN 395406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016335PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 16

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

View all 16

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

Verify at the official NPI Registry.