Individual provider Active NPI

Kaitlyn Melissa Connors

  • Chiropractor
  • Wilkes Barre, PA
National Provider Identifier
1700217890
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010811 Issued in PA
Practice address
150 Mundy St
Mac IV Building
Wilkes Barre, PA 18702-6830
Phone
(570) 824-0930
Fax
(570) 824-7755
NPI assigned
Nov 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010811 PA Primary

Addresses

Primary practice location

150 Mundy St
Mac IV Building
Wilkes Barre, PA 18702-6830

Mailing address

12 Walnutwood Dr
Wilkes Barre, PA 18702-7244
Phone (570) 262-8869

Other practice location 1

5 Morgan Hwy Ste 4
Scranton, PA 18508-2641
Phone (570) 344-3788

Other identifiers 8

IdentifierTypeStateIssuer
4177518OtherPAAETNA
003013331OtherPAHIGHMARK BLUE SHIELD
1700217890OtherPAVIBRA HEALTH PLAN
1700217890OtherPAGHP FAMILY
50153952OtherPACAPITAL BLUE CROSS
102895430-0002MedicaidPA
008246OtherPAOPTUM
25-1645055OtherPAHUMANA/CHOICE CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140219000658 PA Practitioner - Chiropractic 0143459016 Reassigns benefits to 1 organization
Practice locations: Pittston, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Rehabilitation Associates, PCGroup PAC ID 5193714723, 47 clinicians

Practice addresses (Care Compare)

150 Mundy St
Wilkes Barre, PA 18702-6830
Phone (570) 824-0930

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Rehabilitation Associates, PC CurrentSince Dec 1, 2016 Accepting new patients
Rhyan Mercado DC Chiropractor PastSince May 16, 2021 Accepting new patients

Locations

5 Morgan Hwy
Ste 4
Scranton, PA 18508
Phone (570) 344-3788

150 Mundy St
Wilkes Barre Township, PA 18702
Phone (570) 824-0930

Interoperability endpoints

  • Direct secure messaging: kconnors@nerehab.medentdirect.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1700217890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WALNUTWOOD DR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027244",
            "telephone_number": "570-262-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MUNDY ST",
            "address_2": "MAC IV BUILDING",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026830",
            "telephone_number": "570-824-0930",
            "fax_number": "570-824-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Morgan Hwy Ste 4",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185082641",
            "country_code": "US",
            "telephone_number": "570-344-3788",
            "fax_number": "570-969-9280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "KAITLYN",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4177518",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "003013331",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIBRA HEALTH PLAN",
            "identifier": "1700217890",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP FAMILY",
            "identifier": "1700217890",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50153952",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102895430-0002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "008246",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA/CHOICE CARE",
            "identifier": "25-1645055",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.