Kelsey Ann Pfeiffenberger, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP017727 Issued in PA

Practice address

805 N Richmond St
Fleetwood, PA 19522-1058

Phone

(610) 944-0464

NPI assigned

Aug 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

15 of 100Reported as individual

Quality

20

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• St. Joseph Medical Group

  • Family Medicine Physician
  • Reading, PA
  • NPI 1184754657
  NPD (past)

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1780108753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 BOW LN",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259180",
            "telephone_number": "484-942-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N RICHMOND ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221058",
            "telephone_number": "610-944-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFFENBERGER",
        "first_name": "KELSEY",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN673265",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn Leigh Noll, MALS, LMSW
• Paramount Independent Living AIDS, Inc.
• Eric Alan Parrish, PT
• Khyatiben B Patel, CRNP
• Veronica Cavella Pedersen, L.AC.
• Jessica M Phillippy, PA-C
• Phoenix Rehabilitation and Health Services, Inc.
• Marisa Leanne Printz, LSW
• Rachel Prutzman
• Victoria Frances Psomiadis, M.D.

• Nurse Practitioner in Fleetwood, PA
• Providers in Fleetwood, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.

Verify at the official NPI Registry.