Individual provider Active NPI

Kelly R McCracken, PA-C

  • Medical Physician Assistant
  • Mechanicsburg, PA
National Provider Identifier
1760808703
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA056786 Issued in PA
Practice address
6481 Carlisle Pike
Mechanicsburg, PA 17050-2377
Phone
(717) 516-6396
Fax
(717) 620-8093
NPI assigned
Mar 14, 2014
Last updated
Jun 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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 MA056786 PA Primary

Addresses

Primary practice location

6481 Carlisle Pike
Mechanicsburg, PA 17050-2377

Mailing address

6481 Carlisle Pike
Mechanicsburg, PA 17050-2377
Phone (717) 516-6396

Other identifiers 1

IdentifierTypeStateIssuer
103166579MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20260102002298 MD Practitioner - Physician Assistant 6608092515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13833 Ridgeview CT
Cockeysville, MD 21030-1534

4535 Dressier Rd NW
Canton, OH 44718-2545

Hospital & facility affiliations

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA056786PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mep Health, LLC CurrentSince Nov 1, 2025 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Sep 27, 2021 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Sep 27, 2021 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Nov 1, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Nov 1, 2025 Accepting new patients
River Branch Emergency Physicians LLC Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

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

Organizations & group practices 7

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 3

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": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1760808703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6481 CARLISLE PIKE",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502377",
            "telephone_number": "717-516-6396",
            "fax_number": "717-620-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6481 CARLISLE PIKE",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502377",
            "telephone_number": "717-516-6396",
            "fax_number": "717-620-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "KELLY",
        "middle_name": "R",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103166579",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.