NPIMap

Individual provider Active NPI

Stephanie Burkholder, CRNP

  • Adult Health Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1700138765
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP012554 Issued in PA
Practice address
2501 N 3Rd St FL 3
Harrisburg, PA 17110-1904
Phone
(717) 782-4785
Fax
(717) 782-6471
NPI assigned
Oct 15, 2012
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP012554 PA Primary
Registered Nurse 163W00000X RN561064 PA

Addresses

Primary practice location

2501 N 3Rd St FL 3
Harrisburg, PA 17110-1904

Mailing address

2501 N 3Rd St FL 3
Harrisburg, PA 17110-1904
Phone (717) 782-4785

Other practice location 1

2401 Park Dr Ste 101
Harrisburg, PA 17110-9303
Phone (717) 686-9842

Other identifiers 1

IdentifierTypeStateIssuer
103012545MedicaidPA

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
I20130123000476 PA Practitioner - Nurse Practitioner 6103079256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

2501 N 3Rd Street 3Rd Floor
Upmc Surgery Optimization Clinic
Harrisburg, PA 17110-2046
Phone (717) 782-4785

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN561064PAMDRegistered Nurse
SP012554PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2024 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services PastSince Aug 4, 2024 Accepting new patients
Landmark Connect of Pennslyvania PC PastSince Oct 1, 2019 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

2501 N 3rd St
Harrisburg, PA 17110
Phone (717) 782-2100

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2501 N 3rd St
Fl 3
Harrisburg, PA 17110
Phone (717) 782-4785

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

Interoperability endpoints

  • Direct secure messaging: sburkholder@landmarkhealth-direct.org
  • Direct secure messaging: sburkholder309276@upmc.direct-ci.com

Organizations & group practices 5

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 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": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1700138765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N 3RD ST FL 3",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101904",
            "telephone_number": "717-782-4785",
            "fax_number": "717-782-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N 3RD ST FL 3",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101904",
            "telephone_number": "717-782-4785",
            "fax_number": "717-782-6471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Park Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109303",
            "country_code": "US",
            "telephone_number": "717-686-9842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKHOLDER",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP012554",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN561064",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103012545",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.