Individual provider Active NPI

Jennifer Kerstetter, NP-C

  • Nurse Practitioner
  • Camp Hill, PA
National Provider Identifier
1679075840
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP021141 Issued in PA
Practice address
425 N 21St St Ste 101
Camp Hill, PA 17011-2223
Phone
(717) 972-4250
NPI assigned
Mar 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R179185 MD
Nurse Practitioner 363L00000X SP021141 PA Primary
Dermatology Physician 207N00000X R179185 MD

Addresses

Primary practice location

425 N 21St St Ste 101
Camp Hill, PA 17011-2223

Mailing address

2012 S Tollgate Rd
Bel Air, MD 21015-5900

Other practice location 1

2012 S Tollgate Rd
Bel Air, MD 21015-5900
Phone (443) 745-6345

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkerstetter2@direct.psu.edu

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
I20200121000173 PA Practitioner - Nurse Practitioner 4082977079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians

Practice addresses (Care Compare)

1120 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 533-4141

425 N 21St St
Suite 101
Camp Hill, PA 17011-2223
Phone (717) 972-4250

Hospital & facility affiliations

  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Jul 18, 2022 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jul 18, 2022 Accepting new patients
Dermatology & Skin Surgery Center of York, LLC Dermatology CurrentSince Dec 2, 2019 Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients
Englert Dermatology, LLC Dermatology Past Accepting new patients
Englert Dermatology, LLC Past Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

425 N 21st St
Ste 101
Camp Hill, PA 17011
Phone (717) 972-2829

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

400 Pine Grove Cmns
York, PA 17403
Phone (717) 755-2020

Organizations & group practices 7

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 1

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": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1679075840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 S TOLLGATE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N 21ST ST STE 101",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112223",
            "telephone_number": "717-972-4250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2012 S Tollgate Rd",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210155900",
            "country_code": "US",
            "telephone_number": "443-745-6345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERSTETTER",
        "first_name": "JENNIFER",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R179185",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP021141",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "R179185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkerstetter2@direct.psu.edu",
            "affiliation": "N",
            "address_1": "425 N 21st St Ste 101",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170112223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.