Active NPI
Tammy Lynne Miceli
- Gerontology Nurse Practitioner
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- RN289427L
- Practice address
- 4000 Linglestown Rd
Harrisburg, PA 17112-1017 - Phone
- (717) 231-8508
- Fax
- (717) 231-8535
- NPI assigned
- Mar 16, 2017
- Last updated
- Sep 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP016113 | PA | |
| Gerontology Nurse Practitioner | 363LG0600X | RN289427L | PA | Primary |
Addresses
Primary practice location
4000 Linglestown Rd
Harrisburg, PA 17112-1017
Mailing address
409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Phone (717) 231-8923
Other practice location 1
770 Poplar Church Rd
Camp Hill, PA 17011-2302
Phone (717) 231-8508
Other practice location 2
102 Chandra Dr
Duncannon, PA 17020-9745
Phone (717) 231-8508
Other practice location 3
25 Cove Rd
Duncannon, PA 17020-9514
Phone (717) 231-8508
Other practice location 4
1205 S 28th St
Harrisburg, PA 17111-1046
Phone (717) 231-8508
Other practice location 5
3625 N Progress Ave
Harrisburg, PA 17110-9690
Phone (717) 231-8508
Other practice location 6
100 Mount Allen Dr
Mechanicsburg, PA 17055-6171
Phone (717) 231-8508
Other practice location 7
800 King Russ Rd
Harrisburg, PA 17109-5101
Phone (717) 231-8508
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmiceli296592@upmc.direct-ci.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3625 N Progress Ave
Harrisburg, PA 17110-9690
Phone (717) 652-2345
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.08 of 100
- Quality
- 76.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN289427L | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients |
Locations
210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300
770 Poplar Church Rd
Camp Hill, PA 17011
Phone (717) 763-7070
102 Chandra Dr
Duncannon, PA 17020
Phone (717) 834-4111
25 Cove Rd
Duncannon, PA 17020
Phone (717) 834-4887
1205 S 28th St
Harrisburg, PA 17111
Phone (717) 558-1000
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
3625 N Progress Ave
Harrisburg, PA 17110
Phone (717) 652-2345
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
800 King Russ Rd
Harrisburg, PA 17109
Phone 412963915010149
4000 Linglestown Rd
Linglestown, PA 17112
Phone (717) 231-8867
100 Mount Allen Dr
Mechanicsburg, PA 17055
Phone (717) 697-4666
Interoperability endpoints
- tmiceli296592@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.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1013441690
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
dba PinnacleHealth Women's Cancer Center
- Gynecologic Oncology Physician
- Mechanicsburg, PA
- NPI 1992006407
-
dba Memorial Family Medicine at Brogue
- Family Medicine Physician
- Brogue, PA
- NPI 1386173763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1740721208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 2ND ST STE 2F",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612",
"telephone_number": "717-231-8923",
"fax_number": "717-231-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 LINGLESTOWN RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171121017",
"telephone_number": "717-231-8508",
"fax_number": "717-231-8535"
}
],
"practiceLocations": [
{
"address_1": "770 Poplar Church Rd",
"address_purpose": "LOCATION",
"city": "Camp Hill",
"state": "PA",
"postal_code": "170112302",
"country_code": "US",
"telephone_number": "717-231-8508",
"fax_number": "717-231-8535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 Chandra Dr",
"address_purpose": "LOCATION",
"city": "Duncannon",
"state": "PA",
"postal_code": "170209745",
"country_code": "US",
"telephone_number": "717-231-8508",
"fax_number": "717-231-8535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Cove Rd",
"address_purpose": "LOCATION",
"city": "Duncannon",
"state": "PA",
"postal_code": "170209514",
"country_code": "US",
"telephone_number": "717-231-8508",
"fax_number": "717-231-8535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1205 S 28th St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171111046",
"country_code": "US",
"telephone_number": "717-231-8508",
"fax_number": "717-231-8535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3625 N Progress Ave",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171109690",
"country_code": "US",
"telephone_number": "717-231-8508",
"fax_number": "717-231-8535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Mount Allen Dr",
"address_purpose": "LOCATION",
"city": "Mechanicsburg",
"state": "PA",
"postal_code": "170556171",
"country_code": "US",
"telephone_number": "717-231-8508",
"fax_number": "717-231-8535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 King Russ Rd",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171095101",
"country_code": "US",
"telephone_number": "717-231-8508",
"fax_number": "717-231-8535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICELI",
"first_name": "TAMMY",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-16",
"last_updated": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP016113",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "RN289427L",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmiceli296592@upmc.direct-ci.com",
"affiliation": "N",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harrisburg, PA
- David Bittner Metzger, MD
- Heather J Metzger, CRNP
- Richard H Meyers, CRNP
- MH Medical LLC
- Kaihong Mi, MD, PHD
- Michael F Lupinacci MD PC (PRISM Center for Spine & Pain Care)
- Michael F Lupinacci MD, PC (Physicians of Rehabilitation, Industrial & Spine Medicine, PC)
- Michael F Lupinacci MD, PC (Physicians of Rehabilitation, Industrial & Spine Medicine, PC)
- Michael V. Marchese, D M D, P C
- Frederick J. Michel, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.