Individual provider Active NPI

Gabrielle Nichisti, RD

  • Registered Dietitian
  • York, PA
National Provider Identifier
1477918290
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN005829 Issued in PA
Practice address
1600 6TH Ave Ste 115
York, PA 17403-2627
Phone
(717) 849-2804
Fax
(717) 850-4141
NPI assigned
Dec 21, 2015
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN005829 PA Primary

Addresses

Primary practice location

1600 6TH Ave Ste 115
York, PA 17403-2627

Mailing address

1600 6TH Ave Ste 115
York, PA 17403-2627
Phone (717) 849-2804

Other practice location 1

215 Sugartown Rd
Wayne, PA 19087-3137
Phone (610) 964-8800

Other practice location 2

1575 Highlands Dr Ste 200
Lititz, PA 17543-7507
Phone (717) 909-0290

Other names 1

  • Gabrielle Keeley Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gnichisti220771@phsdirect.pinnaclehealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160613001754 PA Practitioner - Registered Dietitian Or Nutrition Professional 0547550154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1600 6TH Ave
York, PA 17403-2627

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

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2022 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients

Locations

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

1575 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 358-7653

1600 6th Ave
Ste 115
York, PA 17403
Phone (717) 755-1244

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1477918290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 6TH AVE STE 115",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032627",
            "telephone_number": "717-849-2804",
            "fax_number": "717-850-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 6TH AVE STE 115",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032627",
            "telephone_number": "717-849-2804",
            "fax_number": "717-850-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Sugartown Rd",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "PA",
            "postal_code": "190873137",
            "country_code": "US",
            "telephone_number": "610-964-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1575 Highlands Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175437507",
            "country_code": "US",
            "telephone_number": "717-909-0290",
            "fax_number": "717-909-0292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHISTI",
        "first_name": "GABRIELLE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gnichisti220771@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1575 Highlands Dr Ste 200",
            "city": "Lititz",
            "state": "PA",
            "country_code": "US",
            "postal_code": "175437507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "KEELEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.