Individual provider Active NPI

Page M. Kissinger

  • Family Nurse Practitioner
  • Shippensburg, PA
National Provider Identifier
1588023287
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015939 Issued in PA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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 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

IdentifierTypeStateIssuer
100730726 0062OtherPAMEDICAID GROUP #
103097687MedicaidPA
867633OtherPAMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160429001025 PA Practitioner - Nurse Practitioner 4981903713 Reassigns benefits to 1 organization

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
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

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

LicenseStateTypeSpecialty
SP015939PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Jan 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.