Active NPI
Cathy A. Custer, C.R.N.P.
- Acute Care Nurse Practitioner
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R096345
- Practice address
- 205 S Front St FL 4
Harrisburg, PA 17104-1619 - Phone
- (717) 231-8555
- Fax
- (717) 231-8568
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP017491 | PA | |
| Acute Care Nurse Practitioner | 363LA2100X | R096345 | MD | Primary |
Addresses
Primary practice location
205 S Front St FL 4
Harrisburg, PA 17104-1619
Mailing address
1838 Greene Tree Rd
Suite 150- LL
Baltimore, MD 21208-6391
Phone (410) 602-9262
Other practice location 1
6569 N Charles St
Suite 600
Baltimore, MD 21204-6831
Phone (410) 825-5150
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ccuster53546@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 S Front St
Harrisburg, PA 17104-1619
Phone (717) 231-8555
Hospital & facility affiliations
- Upmc Pinnacle Hospitals
- Upmc Carlisle
- Upmc Hanover
- Upmc Memorial
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R096345 | MD | MD | Acute Care Nurse Practitioner |
| SP017491 | PA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Cardiovascular Institute Inc | Current | Accepting new patients | |
| Midatlantic Cardiovascular Associates PA | Past | Accepting new patients |
Locations
360 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-6557
205 S Front St
Fl 4
Harrisburg, PA 17104
Phone (717) 231-8555
205 S Front St
Harrisburg, PA 17104
Phone (717) 231-8360
2005 Technology Pkwy
Ste 300
Mechanicsburg, PA 17050
Phone (717) 782-4785
Interoperability endpoints
- ccuster284952@upmc.direct-ci.com
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Wormleysburg, PA
- NPI 1952603342
-
- Cardiovascular Disease Physician
- Baltimore, MD
- NPI 1821084112
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carlisle, PA
- NPI 1689107328
-
- General Acute Care Hospital
- Hanover, PA
- NPI 1730158981
-
- General Acute Care Hospital
- York, PA
- NPI 1063945707
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1689602245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1838 GREENE TREE RD",
"address_2": "SUITE 150- LL",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212086391",
"telephone_number": "410-602-9262",
"fax_number": "410-602-9276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S FRONT ST FL 4",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041619",
"telephone_number": "717-231-8555",
"fax_number": "717-231-8568"
}
],
"practiceLocations": [
{
"address_1": "6569 N Charles St",
"address_2": "Suite 600",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212046831",
"country_code": "US",
"telephone_number": "410-825-5150",
"fax_number": "410-269-0809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUSTER",
"first_name": "CATHY",
"middle_name": "A.",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP017491",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MD",
"license": "R096345",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ccuster53546@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "205 S Front St Fl 4",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171041619",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.