NPIMap

Individual provider Active NPI

Stephanie R Marencic, CRNP

  • Nurse Practitioner
  • Camp Hill, PA
National Provider Identifier
1760155345
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP022432 Issued in PA
Practice address
503 N 21St St
Camp Hill, PA 17011-2204
Phone
(717) 763-2100
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP022432 PA Primary

Addresses

Primary practice location

503 N 21St St
Camp Hill, PA 17011-2204

Mailing address

2200 Good Hope Road
Suite 1076
Enola, PA 17025
Phone (717) 981-8160

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smarencic@direct.psu.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929000373 PA Practitioner - Nurse Practitioner 3678970902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians

Practice addresses (Care Compare)

503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 234-2561

Hospital & facility affiliations

  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004
  • Penn State Health Hampden Medical Center Hospital, Enola, PA, CCN 390336
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP022432PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Sep 15, 2021 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Sep 15, 2021 Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

429 N 21st St
Camp Hill, PA 17011
Phone (717) 761-7244

2200 Good Hope Rd
Ste 1076
Enola, PA 17025
Phone (717) 981-8160

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

2221 Noll Dr
Ste 2000
Lancaster, PA 17603
Phone (717) 715-1001

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1760155345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GOOD HOPE ROAD",
            "address_2": "SUITE 1076",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "17025",
            "telephone_number": "717-981-8160",
            "fax_number": "717-312-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N 21ST ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112204",
            "telephone_number": "717-763-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARENCIC",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP022432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smarencic@direct.psu.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "503 N 21st St",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170112204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.