Individual provider Active NPI

Robert Eric Doerfler, CRNP

  • Adult Health Nurse Practitioner
  • Camp Hill, PA
National Provider Identifier
1730110214
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP003948C Issued in PA
Practice address
1521 Cedar Cliff Dr
Suite 203
Camp Hill, PA 17011-7706
Phone
(717) 761-6902
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP003948C PA Primary

Addresses

Primary practice location

1521 Cedar Cliff Dr
Suite 203
Camp Hill, PA 17011-7706

Mailing address

1521 Cedar Cliff Dr
Suite 203
Camp Hill, PA 17011-7706
Phone (717) 761-6902

Other identifiers 2

IdentifierTypeStateIssuer
50041621OtherPACAPTAL BLUE CROSS/KEYSTON
S45018OtherPAHEALTH AMERICA/HEALTH ASS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 10, 2024 through Jul 10, 2028

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1730110214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 CEDAR CLIFF DR",
            "address_2": "SUITE 203",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117706",
            "telephone_number": "717-761-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 CEDAR CLIFF DR",
            "address_2": "SUITE 203",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117706",
            "telephone_number": "717-761-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERFLER",
        "first_name": "ROBERT",
        "middle_name": "ERIC",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP003948C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPTAL BLUE CROSS/KEYSTON",
            "identifier": "50041621",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/HEALTH ASS",
            "identifier": "S45018",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.