Individual provider Active NPI

Caitlynn Kempinski, PA-C

  • Physician Assistant
  • Dallas, PA
National Provider Identifier
1770034084
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058693 Issued in PA
Practice address
114 LT. Michael Cleary Dr.
Dallas, PA 18612-3828
Phone
(570) 255-1178
NPI assigned
Oct 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA005342 PA
Medical Physician Assistant 363AM0700X MA058693 PA
Physician Assistant 363A00000X MA058693 PA Primary

Addresses

Primary practice location

114 LT. Michael Cleary Dr.
Dallas, PA 18612-3828

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other names 1

  • Caitlynn Watkins Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwatkins159201@direct.geisinger.edu Direct

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
I20161129001697 PA Practitioner - Physician Assistant 0547540072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

114 LT Michael Cleary Dr
Dallas, PA 18612-1649
Phone (570) 255-1178

1155 E Mountain Blvd
Wilkes Barre, PA 18702-7906
Phone (570) 808-5135

1175 E Mountain Blvd
Suite 150723
Wilkes Barre, PA 18702-7906
Phone (570) 808-1093

1201 Oak St
Pittston, PA 18640-3798
Phone (570) 808-9800

128 E Main St
Nanticoke, PA 18634-1604
Phone (570) 258-1304

3 W Olive St
Scranton, PA 18508-2572
Phone (570) 207-5970

35 S Mountain Blvd
Mountain Top, PA 18707-1122
Phone (570) 474-5847

42 N Main St
Pittston, PA 18640-1916
Phone (570) 654-0880

5 Lakeview Dr
Moosic, PA 18507-2108
Phone (570) 558-2180

560 Pierce St
Kingston, PA 18704-5716
Phone (570) 714-5810

631 Northern Blvd
South Abington Township, PA 18411-9025
Phone (570) 587-2290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA005342PAMDPhysician Assistant
MA058693PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Physician Assistant CurrentSince Feb 5, 2018 Accepting new patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Mar 22, 2021 Accepting new patients
Geisinger Clinic CurrentSince Feb 5, 2018 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

226 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030

114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178

100 N Academy Ave
Danville, PA 17822

560 Pierce St
Kingston, PA 18704
Phone (570) 283-2161

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

128 E Main St
Nanticoke, PA 18634
Phone (570) 258-1304

42 N Main St
Pittston, PA 18640
Phone (570) 602-5610

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

631 Northern Blvd
South Abington Township, PA 18411
Phone (570) 340-6920

1020 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2290

10 Trieble Dr
Tunkhannock, PA 18657
Phone (570) 836-2273

809 Hunter Hwy
Tunkhannock, PA 18657
Phone (570) 966-2700

35 S Mountain Blvd
Wilkes Barre, PA 18707
Phone (570) 474-5072

Interoperability endpoints

  • Direct secure messaging: cwatkins159201@direct.geisinger.edu

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1770034084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 LT. MICHAEL CLEARY DR.",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186123828",
            "telephone_number": "570-255-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPINSKI",
        "first_name": "CAITLYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005342",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058693",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwatkins159201@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "114 Lt. Michael Cleary Dr.",
            "city": "Dallas",
            "state": "PA",
            "country_code": "US",
            "postal_code": "186123828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAITLYNN",
            "last_name": "WATKINS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, PA

Sources for this page

Verify at the official NPI Registry.