Kenneth Elwood Myers III, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP014352 Issued in PA

Practice address

2501 N 3Rd St
Harrisburg, PA 17110-1904

Phone

(717) 782-2100

Fax

(717) 782-2121

NPI assigned

Oct 21, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2014

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)

Hospital & facility affiliations

• Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427
  Medicare reassignment Care Compare group NPD
• Pinnacle Health Medical Services

  dba UPMC Gastroenterology Associates of Central PA

  • Gastroenterology Physician
  • Mechanicsburg, PA
  • NPI 1295552073
  NPD
• Pinnacle Health Medical Services

  dba PH Surgical Associates East

  • Surgery Physician
  • Harrisburg, PA
  • NPI 1700109493
  NPD
• Pinnacle Health Medical Services

  dba PinnacleHealth Endocrinology Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • Mechanicsburg, PA
  • NPI 1518918523

  Nurse Practitioner

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
  • NPI 1164526588

  Hospital

  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • General Acute Care Hospital
  • Harrisburg, PA
  • NPI 1265537674
  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
  • NPI 1346344769

  Hospital

  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • General Acute Care Hospital
  • Harrisburg, PA
  • NPI 1407813603
  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
  • NPI 1528940962

  Hospital

  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Mechanicsburg, PA
  • NPI 1922425651

  Hospital

  Care Compare affiliation
• Upmc Pinnacle Hospitals

  dba UPMC Pinnacle West Shore

  • General Acute Care Hospital
  • Mechanicsburg, PA
  • NPI 1972613305
  Care Compare affiliation

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1740684638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N 3RD ST FL 2",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N 3RD ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101904",
            "telephone_number": "717-782-2100",
            "fax_number": "717-782-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KENNETH",
        "middle_name": "ELWOOD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP014352",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "RN591486",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102975011",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmyers8302@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2501 N 3rd St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171101904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Lynn Mychak, PA-C
• Myers Ambucare Surgery, LTD.
• Jessica L Myers-Adams, LCSW
• Audrey Jean Myers, MS LPC
• Franklin J Myers III, M.D.
• Maria T Myers, LCSW
• Matthew Scott Myers, DO
• Melanie Sue Myers, CRNP
• Nicol Yvette Myers
• Rosanna Lynn Myers, R.PH.

• Family Nurse Practitioner in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.