Active NPI
Kristen M Nebel, DO
- Geriatric Medicine (Family Medicine) Physician
- Lancaster, PA
National Provider Identifier
1508899063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- OS013415
- Practice address
- 1762 Pioneer Rd
Lancaster, PA 17602-1516 - Phone
- (717) 723-8531
- Fax
- (717) 482-0242
- NPI assigned
- Jul 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | OS013415 | PA | Primary |
Addresses
Primary practice location
1762 Pioneer Rd
Lancaster, PA 17602-1516
Mailing address
1762 Pioneer Rd
Lancaster, PA 17602-1516
Phone (717) 723-8531
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000189639 | Other | PA | UNISON |
| 2768732000 | Other | PA | INDEPENDENCE BLUE CROSS |
| P008399 | Other | PA | GATEWAY |
| 001900354 | Other | PA | HIGHMARK |
| 20055224 | Other | PA | MERCY |
| 50060215 | Other | PA | CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL |
| 7936853 | Other | PA | AETNA-NON HMO |
| 1429359 | Other | PA | AETNA-HMO |
| 106597 | Other | PA | GEISINGER |
| 101696290 | Medicaid | PA | |
| P00351031 | Other | PA | RR MEDICARE |
Other names 1
- Kristen M Griffin
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | fax | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 1, 2024 through Nov 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS013415 | PA | MD | Geriatric Medicine (Family Medicine) Physician |
Interoperability endpoints
- kristen.nebel@999544498290692.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1508899063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1762 PIONEER RD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176021516",
"telephone_number": "717-723-8531",
"fax_number": "717-482-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1762 PIONEER RD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176021516",
"telephone_number": "717-723-8531",
"fax_number": "717-482-0242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEBEL",
"first_name": "KRISTEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "PA",
"license": "OS013415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000189639",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "2768732000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "P008399",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "001900354",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "20055224",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL",
"identifier": "50060215",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-NON HMO",
"identifier": "7936853",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-HMO",
"identifier": "1429359",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "106597",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101696290",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00351031",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "fax",
"affiliation": "N",
"endpointDescription": "7174820242",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1762 Pioneer Rd",
"city": "Lancaster",
"state": "PA",
"country_code": "US",
"postal_code": "176021516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "GRIFFIN",
"middle_name": "M",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.