Active NPI
Kaitlyn Melissa Connors
- Chiropractor
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010811
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4177518 | Other | PA | AETNA |
| 003013331 | Other | PA | HIGHMARK BLUE SHIELD |
| 1700217890 | Other | PA | VIBRA HEALTH PLAN |
| 1700217890 | Other | PA | GHP FAMILY |
| 50153952 | Other | PA | CAPITAL BLUE CROSS |
| 102895430-0002 | Medicaid | PA | |
| 008246 | Other | PA | OPTUM |
| 25-1645055 | Other | PA | HUMANA/CHOICE CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
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 100
- Quality
- 78.34
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Rehabilitation Associates, PC | Current | Accepting new patients | |
| Rhyan Mercado DC | Chiropractor | Past | 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
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Scranton, PA
- NPI 1104878412
-
- Chiropractor
- Pittston, PA
- NPI 1902480346
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.