Active NPI
Christopher Raymond Kebberly, CRNP
- Family Nurse Practitioner
- Johnstown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP021815
- Practice address
- 1322 Eisenhower Blvd
Johnstown, PA 15904-3307 - Phone
- (814) 266-8840
- Fax
- (814) 266-2176
- NPI assigned
- Apr 7, 2020
- Sex
- Male
- 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 | SP021815 | PA | Primary |
Addresses
Primary practice location
1322 Eisenhower Blvd
Johnstown, PA 15904-3307
Mailing address
1322 Eisenhower Blvd
Johnstown, PA 15904-3307
Phone (814) 266-8840
Other practice location 1
939 Menoher Blvd
Johnstown, PA 15905-2830
Phone (814) 262-9500
Other practice location 2
126 E Church St
Somerset, PA 15501-2271
Phone (814) 443-1789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 256-5300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.99 of 100
- Quality
- 81.65
- Improvement activities
- 40
- Cost
- 74.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26527 | SC | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group South Carolina | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Apogee Medical Group of Pennsylvania PC | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Apogee Medical Group of Pennsylvania PC | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Regional Medical Center of Orangeburg and Calhoun Counties | Past | Accepting new patients |
Locations
15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311
2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859
Organizations & group practices 7
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.
-
dba MUSC Community Physicians Specialty
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1568633535
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1649227166
-
dba MUSC Health Primary Care - Bowman
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
dba MUSC Community Physicians PC
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
dba RMC Pharmacy
- Community/Retail Pharmacy
- Orangeburg, SC
- NPI 1467709881
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MUSC Health Columbia Medical Center Northeast
- General Acute Care Hospital
- Columbia, SC
- NPI 1285200105
-
dba MUSC Health Columbia Medical Center Downtown
- General Acute Care Hospital
- Columbia, SC
- NPI 1558937474
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1578402764
Hospital
-
dba MUSC Health Fairfield Emergency and Imaging Center
- Clinic/Center
- Winnsboro, SC
- NPI 1811563737
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1578192969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 EISENHOWER BLVD",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159043307",
"telephone_number": "814-266-8840",
"fax_number": "814-266-2176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 EISENHOWER BLVD",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159043307",
"telephone_number": "814-266-8840",
"fax_number": "814-266-2176"
}
],
"practiceLocations": [
{
"address_1": "939 Menoher Blvd",
"address_purpose": "LOCATION",
"city": "Johnstown",
"state": "PA",
"postal_code": "159052830",
"country_code": "US",
"telephone_number": "814-262-9500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "126 E Church St",
"address_purpose": "LOCATION",
"city": "Somerset",
"state": "PA",
"postal_code": "155012271",
"country_code": "US",
"telephone_number": "814-443-1789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEBBERLY",
"first_name": "CHRISTOPHER",
"middle_name": "RAYMOND",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-07",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP021815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.
- 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.