Active NPI
Page M. Kissinger
- Family Nurse Practitioner
- Shippensburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP015939
- Practice address
- 46 Walnut Bottom Rd Ste 200
Shippensburg, PA 17257-8219 - Phone
- (717) 532-4148
- Fax
- (717) 532-3561
- NPI assigned
- Feb 23, 2016
- Last updated
- Jun 2, 2021
- 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 | SP015939 | PA | Primary |
Addresses
Primary practice location
46 Walnut Bottom Rd Ste 200
Shippensburg, PA 17257-8219
Mailing address
785 5TH Ave
Suite 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555
Other practice location 1
354 Alexander Spring Rd
Carlisle, PA 17015-7451
Phone (717) 477-2764
Other practice location 2
2 Keefer Dr
Mercersburg, PA 17236-1732
Phone (717) 328-2119
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100730726 0062 | Other | PA | MEDICAID GROUP # |
| 103097687 | Medicaid | PA | |
| 867633 | Other | PA | MEDICARE GROUP # |
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
46 Walnut Bottom Rd
Shippensburg, PA 17257-8219
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP015939 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Wellspan Medical Group | Past | Accepting new patients |
Locations
354 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 263-8811
2 Keefer Dr
Mercersburg, PA 17236
Phone (717) 328-2115
46 Walnut Bottom Rd
Shippensburg, PA 17257
Phone (717) 477-2764
46 Walnut Bottom Rd
#200
Shippensburg, PA 17257
Phone (717) 532-4148
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Interoperability endpoints
- pkissinger225872@wellspan.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Urgent Care Clinic/Center
- Shrewsbury, PA
- NPI 1003229626
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Mechanicsburg, PA
- NPI 1396797163
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1215060157
Hospital
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1669523320
Hospital
-
dba WellSpan Chambersburg Hospital
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1952452617
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1588023287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 5TH AVE",
"address_2": "SUITE 3",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014232",
"telephone_number": "717-263-9555",
"fax_number": "717-217-4218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 WALNUT BOTTOM RD STE 200",
"city": "SHIPPENSBURG",
"state": "PA",
"postal_code": "172578219",
"telephone_number": "717-532-4148",
"fax_number": "717-532-3561"
}
],
"practiceLocations": [
{
"address_1": "354 Alexander Spring Rd",
"address_purpose": "LOCATION",
"city": "Carlisle",
"state": "PA",
"postal_code": "170157451",
"country_code": "US",
"telephone_number": "717-477-2764",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Keefer Dr",
"address_purpose": "LOCATION",
"city": "Mercersburg",
"state": "PA",
"postal_code": "172361732",
"country_code": "US",
"telephone_number": "717-328-2119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KISSINGER",
"first_name": "PAGE",
"middle_name": "M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-23",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP015939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP #",
"identifier": "100730726 0062",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103097687",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "867633",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shippensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.