Jill Kathleen Kepner, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP021683 Issued in PA

Practice address

8130 Adams Dr
Hummelstown, PA 17036-8623

Phone

(717) 967-8288

NPI assigned

Apr 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Clear Headed Therapy

  • Social Worker
  • Wormleysburg, PA
  • NPI 1407541543
  NPD
• Cedar Valley Psychiatry, LLC

  • Psychiatry Physician
  • Harrisburg, PA
  • NPI 1114364478
  NPD (past)

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1760011050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 ROCKFORD DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122744",
            "telephone_number": "304-596-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 ADAMS DR",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368623",
            "telephone_number": "717-967-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPNER",
        "first_name": "JILL",
        "middle_name": "KATHLEEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP021683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaaps Smiles PC
• Mary Elizabeth Karis, CRNP
• Amy Kelly, DPT
• Catherine Louise Kelly, LSW
• Jennifer Kennedy, MOT OTR/L
• Keystone Mobility Inc
• Keystone Service Systems
• Keystone Service Systems, Inc
• Keystone Service Systems, Inc
• Khan Transitions MHT LLC

• All providers in Hummelstown, PA
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.