Individual provider Active NPI

Kylie A Boyer, CRNP

  • Acute Care Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1780253104
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP023779 Issued in PA
Practice address
4310 Londonderry Rd Ste 202
Harrisburg, PA 17109-5329
Phone
(717) 791-2520
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP023779 PA
Acute Care Nurse Practitioner 363LA2100X SP023779 PA Primary

Addresses

Primary practice location

4310 Londonderry Rd Ste 202
Harrisburg, PA 17109-5329

Mailing address

4310 Londonderry Rd Ste 202
Harrisburg, PA 17109-5329
Phone (717) 791-2520

Other practice location 1

205 S Front St
Harrisburg, PA 17104-1619
Phone (717) 988-9370

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kboyer205586@phsdirect.pinnaclehealth.org

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
I20210729000230 PA Practitioner - Nurse Practitioner 0648673558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

111 S Front St
Harrisburg, PA 17101-2010

1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 231-8772

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

4300 Londonderry Rd
Harrisburg, PA 17109-5317

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP023779PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 23, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 23, 2021 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

100 Corporate Center Dr
Ste 100
Camp Hill, PA 17011
Phone (717) 763-1174

4310 Londonderry Rd
Ste 202
Harrisburg, PA 17109
Phone (717) 920-4360

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

205 S Front St
Harrisburg, PA 17104
Phone (717) 231-8360

Interoperability endpoints

  • Direct secure messaging: kboyer282398@upmc.direct-ci.com

Organizations & group practices 4

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 7

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1780253104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 LONDONDERRY RD STE 202",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095329",
            "telephone_number": "717-791-2520",
            "fax_number": "717-920-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 LONDONDERRY RD STE 202",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095329",
            "telephone_number": "717-791-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171041619",
            "country_code": "US",
            "telephone_number": "717-988-9370",
            "fax_number": "717-703-0154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYER",
        "first_name": "KYLIE",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP023779",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP023779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kboyer205586@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "4310 Londonderry Rd Ste 202",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171095329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.