NPIMap

Individual provider Active NPI

Brock Kauffman

  • Certified Registered Nurse Anesthetist
  • York, PA
National Provider Identifier
1629669205
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN671402 Issued in PA
Practice address
1701 Innovation Dr
York, PA 17408-8815
Phone
(717) 843-8623
NPI assigned
Jan 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN671402 PA
Certified Registered Nurse Anesthetist 367500000X RN671402 PA Primary

Addresses

Primary practice location

1701 Innovation Dr
York, PA 17408-8815

Mailing address

1701 Innovation Dr
York, PA 17408-8815

Other practice location 1

5 Tyler Ct
Carlisle, PA 17015-7671
Phone (717) 249-0745

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bkauffman201465@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210525001437 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951700988 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultracare Anesthesia Partners LLCGroup PAC ID 4082920525, 78 clinicians
Oss Orthopaedic Hospital LLCGroup PAC ID 8729110747, 125 clinicians

Practice addresses (Care Compare)

1079 E Park Dr
Harrisburg, PA 17111-2812
Phone (223) 279-0290

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3282

1926 Good Hope Rd
Enola, PA 17025-1217
Phone 71784848006867

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN671402PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Oss Orthopaedic Hospital, LLC CurrentSince Jan 1, 2026 Accepting new patients
Wood & Myers Oral and Maxillofacial Surgery, P.C. Current Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Mar 1, 2024 Accepting new patients
Wood & Myers Oral and Maxillofacial Surgery, PC CurrentSince Jul 29, 2022 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince May 19, 2021 Accepting new patients
Ultracare Anesthesia Partners LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 8, 2026 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
Oss Orthopaedic Hospital, LLC CurrentSince Jan 1, 2026 Accepting new patients
Oss Orthopaedic Hospital, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

207 S 32nd St
Camp Hill, PA 17011
Phone (717) 763-1970

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

1926 Good Hope Rd
Enola, PA 17025

4341 Linglestown Rd
Harrisburg, PA 17112
Phone (717) 545-6200

1079 E Park Dr
Harrisburg, PA 17111
Phone (223) 279-0290

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

2 E Laurel Ave
New Castle, PA 16101
Phone (724) 656-9127

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

1861 Powder Mill Rd
York, PA 17402
Phone (717) 718-2000

1855 Powder Mill Rd
Ste 210
York, PA 17402
Phone (717) 747-8306

1701 Innovation Dr
York, PA 17408
Phone (717) 843-8623

1855 Powder Mill Rd
York, PA 17402

Organizations & group practices 9

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 9

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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1629669205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 INNOVATION DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 INNOVATION DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815",
            "telephone_number": "717-843-8623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Tyler Ct",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170157671",
            "country_code": "US",
            "telephone_number": "717-249-0745",
            "fax_number": "717-249-0943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "BROCK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-27",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN671402",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN671402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkauffman201465@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1701 Innovation Dr",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174088815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.