Individual provider Active NPI

Kaitlyn Bingaman

  • Medical Physician Assistant
  • Chambersburg, PA
National Provider Identifier
1740747823
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA060573 Issued in PA
Practice address
22 St Paul Dr
Chambersburg, PA 17201-1036
Phone
(717) 217-6944
NPI assigned
Feb 26, 2019
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA060573 PA Primary

Addresses

Primary practice location

22 St Paul Dr
Chambersburg, PA 17201-1036

Mailing address

785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other practice location 1

214 Peach Orchard Rd
Mc Connellsburg, PA 17233-8559
Phone (717) 485-6125

Other practice location 2

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 765-5086

Other practice location 3

120 N 7th St Ste 200
Chambersburg, PA 17201-1795
Phone (717) 217-6882

Other practice location 4

97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 217-6882

Other practice location 5

338 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 218-5103

Other practice location 6

12 St Paul Dr
Chambersburg, PA 17201-1035
Phone (717) 217-6882

Other practice location 7

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5086

Other practice location 8

501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 217-6944

Other identifiers 2

IdentifierTypeStateIssuer
103635918MedicaidPA
MA060573OtherPABUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS

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
I20190320002264 PA Practitioner - Physician Assistant 1456691989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

22 St Paul Dr
Chambersburg, PA 17201-1036

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA060573PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Wellspan Medical Group Physician Assistant CurrentSince Jan 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

338 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 218-5103

12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026

12 St Paul Dr
Ste 104
Chambersburg, PA 17201
Phone (717) 217-6986

12 St Paul Dr
Ste 207
Chambersburg, PA 17201
Phone (717) 217-6882

120 N 7th St
Chambersburg, PA 17201
Phone (717) 217-6882

120 N 7th St
Ste 200
Chambersburg, PA 17201
Phone (717) 217-6800

22 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6020

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

97 Progress Blvd
Shippensburg, PA 17257
Phone (717) 217-6800

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

501 E Main St
Fl 2
Waynesboro, PA 17268

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: kbingaman233847@wellspan.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1740747823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE STE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ST PAUL DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011036",
            "telephone_number": "717-217-6944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Peach Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Connellsburg",
            "state": "PA",
            "postal_code": "172338559",
            "country_code": "US",
            "telephone_number": "717-485-6125",
            "fax_number": "717-485-6106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-765-5086",
            "fax_number": "717-597-5522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 N 7th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011795",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Progress Blvd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172579053",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "338 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159129",
            "country_code": "US",
            "telephone_number": "717-218-5103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5086",
            "fax_number": "717-762-4551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-217-6944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BINGAMAN",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103635918",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS",
            "identifier": "MA060573",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.