NPIMap

Individual provider Active NPI

Caitlyn Elizabeth Kristich, CRNP

  • Family Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1619659406
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP027918 Issued in PA
Practice address
2112 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644
Phone
(717) 544-3059
NPI assigned
Aug 2, 2023
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 SP027918 PA Primary

Addresses

Primary practice location

2112 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644

Mailing address

2112 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644
Phone (717) 544-3059

Other names 1

  • Caitlyn Elizabeth Cameron Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312001627 PA Practitioner - Nurse Practitioner 0941646053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

2112 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Phone (717) 544-3059

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Oct 15, 2023 Accepting new patients
Lancaster General Medical Group CurrentSince Oct 15, 2023 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

426 Cloverleaf Rd
#D
Elizabethtown, PA 17022
Phone (717) 544-3059

1261 Division Hwy
#2
Ephrata, PA 17522
Phone (717) 299-1301

2112 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (717) 544-3059

694 Good Dr
Ste 200
Lancaster, PA 17601
Phone (717) 544-3514

Organizations & group practices 4

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 7

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": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1619659406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 HARRISBURG PIKE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 HARRISBURG PIKE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTICH",
        "first_name": "CAITLYN",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLYN",
            "last_name": "CAMERON",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.