Active NPI
Kelly R McCracken, PA-C
- Medical Physician Assistant
- Mechanicsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA056786
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103166579 | Medicaid | PA |
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
Enrollment records 1
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA056786 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mep Health, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Emergency Medicine Associates, PA | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | 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.
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1164483558
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
MD
-
- Psychiatry Physician
- Camp Hill, PA
- NPI 1225783871
-
- Diagnostic Radiology Physician
- Harrisburg, PA
- NPI 1457824013
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Emergency Medicine Physician
- Aberdeen, MD
- NPI 1609627082
-
- Emergency Medicine Physician
- Williamsport, PA
- NPI 1275964199
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Penn State Health St Joseph
- General Acute Care Hospital
- Reading, PA
- NPI 1699734665
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
dba Grace Medical Center, A Sinai Hospital Facility
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487325874
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.