Juanita Marie Kreiser, DO
Individual provider Active NPI Internal Medicine Physician · Harrisburg, PA
NPI 1760615447 · NPPES record last updated Apr 26, 2022
Key facts
- NPI
- 1760615447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- OS051066 (PA)
- Practice address
- 4830 Londonderry Rd
Harrisburg, PA 17109-5207 - Phone
- (717) 657-2595
- Fax
- (717) 657-3091
- NPI assigned
- Aug 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 23
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Practice Center PC
Practice addresses (Care Compare)
4830 Londonderry Rd
Harrisburg, PA 17109-5207
Phone (717) 657-2595
Hospital & facility affiliations
- Accentcare Home Health of Central Pennsylvania
- Bayada Home Health Care, Inc.
- Residential Home Health of Carlisle, LLC
- Adoration Hospice
- Hospice for All Seasons, LLC
- Compassus Hospice and Palliative Care - Philadelphia
- Residential Hospice of Carlisle, LLC
- Choices Healthcare
- Upmc Pinnacle Hospitals
- Wellspan Good Samaritan Hospital
- Penn State Health Holy Spirit Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Grane Hospice Care |
Hospice | Contracted Managing Employee | Jan 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110922000112 | PA | Practitioner - Internal Medicine |
6709057839 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS051066 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Center, PC | Current |
Accepting new patients | |
| Family Practice Center, PC | Internal Medicine | Current |
Accepting new patients |
Locations
4830 Londonderry Rd
Harrisburg, PA 17109
Phone (717) 657-2595
7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123
Interoperability endpoints
- juanitakreiserdo@fpc.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS051066 | PA | Yes |
Addresses
Primary practice location
4830 Londonderry Rd
Harrisburg, PA 17109-5207
Mailing address
7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026934130001 | Medicaid | PA |
Other names
- Juanita Marie Leibold
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JuanitaKreiserDO@fpc.medentdirect.com | Health Information Exchange (HIE) | FAMILY PRACTICE CENTER, PC |
Other providers in Harrisburg, PA
- Megan C Krause
- Conrad Krawiec
- Matthew Justin Krebs
- Valentins Francis Krecko
- Stephanie Leigh Kreider
- Jeffrey D Kreitman
- Jasmine Krell
- William Kretchman
- Eric J Krieg
- Lynda V Krieger
All providers in Harrisburg, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.