Individual provider Active NPI

Mandy Poff, CRNP

  • Family Nurse Practitioner
  • Mechanicsburg, PA
National Provider Identifier
1730518580
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013337 Issued in PA
Practice address
6481 Carlisle Pike
Mechanicsburg, PA 17050-2377
Phone
(717) 796-9355
NPI assigned
Nov 2, 2013
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP013337 PA Primary

Addresses

Primary practice location

6481 Carlisle Pike
Mechanicsburg, PA 17050-2377

Mailing address

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 988-0000

Other practice location 1

111 S Front St
Harrisburg, PA 17101
Phone (717) 988-0000

Other identifiers 1

IdentifierTypeStateIssuer
103533945MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpoff84081@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140805001055 PA Practitioner - Nurse Practitioner 5698992279 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Emergency Department Services, LLCGroup PAC ID 0143124701, 106 clinicians

Practice addresses (Care Compare)

1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 988-0000

Merit-based Incentive Payment System (MIPS)

Final score
93.46 of 100Reported as group
Quality
92.17
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP013337PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Emergency Department Services LLC CurrentSince Jul 15, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 21, 2020 Accepting new patients
Pinnacle Health Observation Services LLC CurrentSince Aug 1, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 21, 2020 Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

361 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 249-1211

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

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

1995 Technology Pkwy
Mechanicsburg, PA 17050
Phone (717) 791-2600

6481 Carlisle Pike
Mechanicsburg, PA 17050
Phone (717) 516-6396

Interoperability endpoints

  • Direct secure messaging: mpoff299748@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.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1730518580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012010",
            "telephone_number": "717-988-0000",
            "fax_number": "717-782-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6481 CARLISLE PIKE",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502377",
            "telephone_number": "717-796-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "17101",
            "country_code": "US",
            "telephone_number": "717-988-0000",
            "fax_number": "717-782-5716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POFF",
        "first_name": "MANDY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103533945",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpoff84081@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "111 S Front St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.