Individual provider Active NPI

Tammy Lynne Miceli

  • Gerontology Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1740721208
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN289427L Issued in PA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170627000271 PA Practitioner - Nurse Practitioner 4587933098 Reassigns benefits to 2 organizations

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
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
RN289427LPAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Jul 2, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2017 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jul 2, 2018 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2017 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.