Individual provider Active NPI

Janet E Carroll, CRNP

  • Family Nurse Practitioner
  • Camp Hill, PA
National Provider Identifier
1760628879
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200801047 Issued in PA
Practice address
425 N 21St St
Suite 204
Camp Hill, PA 17011-2223
Phone
(717) 737-3377
Fax
(717) 737-3387
NPI assigned
Dec 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200801047 PA Primary

Addresses

Primary practice location

425 N 21St St
Suite 204
Camp Hill, PA 17011-2223

Mailing address

425 N 21St St
Suite 204
Camp Hill, PA 17011-2223
Phone (717) 737-3377

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
I20090227000346 PA Practitioner - Nurse Practitioner 6507922572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Kidney Disease and Hypertension LLCGroup PAC ID 3577664184, 8 clinicians

Practice addresses (Care Compare)

1023 Mumma Rd
Wormleysburg, PA 17043-1164
Phone (717) 737-3377

Hospital & facility affiliations

  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200801047PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Kidney Disease and Hypertension, LLC CurrentSince Jan 1, 2009 Accepting new patients

Locations

425 N 21st St
Ste 204
Camp Hill, PA 17011
Phone (717) 737-3377

717 Market St
Ste 108
Lemoyne, PA 17043
Phone (717) 737-3377

1023 Mumma Rd
Wormleysburg, PA 17043
Phone (717) 732-3377

Organizations & group practices 1

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 2

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": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1760628879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N 21ST ST",
            "address_2": "SUITE 204",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112223",
            "telephone_number": "717-737-3377",
            "fax_number": "717-737-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N 21ST ST",
            "address_2": "SUITE 204",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112223",
            "telephone_number": "717-737-3377",
            "fax_number": "717-737-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JANET",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "200801047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.