Individual provider Active NPI

Kathleen L Meyer, CRNP

  • Family Nurse Practitioner
  • Mechanicsburg, PA
National Provider Identifier
1629454475
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015140 Issued in PA
Practice address
2035 Technology Pkwy Ste 200
Mechanicsburg, PA 17050-9422
Phone
(717) 724-6780
Fax
(717) 724-6781
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP015140 PA
Family Nurse Practitioner 363LF0000X SP015140 PA Primary

Addresses

Primary practice location

2035 Technology Pkwy Ste 200
Mechanicsburg, PA 17050-9422

Mailing address

2035 Technology Pkwy Ste 200
Mechanicsburg, PA 17050-9422
Phone (717) 724-6780

Other practice location 1

3912 Trindle Rd
Camp Hill, PA 17011
Phone (717) 761-8740

Other identifiers 1

IdentifierTypeStateIssuer
10303772MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kspadaro7432@phsdirect.pinnaclehealth.org

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
I20150827000697 PA Practitioner - Nurse Practitioner 8123334711 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
Upmc Hillman Cancer Center-PinnacleGroup PAC ID 4284044934, 42 clinicians

Practice addresses (Care Compare)

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 724-6780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.91 of 100Reported as group
Quality
78.29
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Hillman Cancer Center-Pinnacle CurrentSince Nov 29, 2022 Accepting new patients

Locations

4300 Londonderry Rd
Ste 302
Harrisburg, PA 17109
Phone (717) 724-6780

2035 Technology Pkwy
Ste 200
Mechanicsburg, PA 17050
Phone (717) 724-6780

2035 Technology Pkwy
Mechanicsburg, PA 17050
Phone (717) 545-5000

2020 Technology Pkwy
Ste 3200
Mechanicsburg, PA 17050
Phone (717) 988-1428

Interoperability endpoints

  • Direct secure messaging: kmeyer537107@upmc.direct-ci.com

Organizations & group practices 1

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.

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1629454475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 TECHNOLOGY PKWY STE 200",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509422",
            "telephone_number": "717-724-6780",
            "fax_number": "717-724-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 TECHNOLOGY PKWY STE 200",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509422",
            "telephone_number": "717-724-6780",
            "fax_number": "717-724-6781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3912 Trindle Rd",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "17011",
            "country_code": "US",
            "telephone_number": "717-761-8740",
            "fax_number": "717-761-8792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP015140",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10303772",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kspadaro7432@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2035 Technology Pkwy Ste 200",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170509422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.