Individual provider Active NPI

Kaceyanne Lynn Cerankowski, PA-C

  • Medical Physician Assistant
  • Lawrenceville, NJ
National Provider Identifier
1811531767
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00549600 Issued in NJ
Practice address
3131 Princeton Pike BLDG 4a
Lawrenceville, NJ 08648-2201
Phone
(609) 896-9190
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 25MP00549600 NJ Primary

Addresses

Primary practice location

3131 Princeton Pike BLDG 4a
Lawrenceville, NJ 08648-2201

Mailing address

769 Birch Ave
Langhorne, PA 19047-5902
Phone (267) 230-6649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200129000556 NJ Practitioner - Physician Assistant 7719313469
I20250207003204 PA Practitioner - Physician Assistant 7719313469

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Temple University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bucks Family Medicine PCGroup PAC ID 7012996655, 7 clinicians

Practice addresses (Care Compare)

2346 Trenton Rd
Levittown, PA 19056-1423

2346 Trenton Rd C
Levittown, PA 19056-1423

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.51 of 100Reported as group
Quality
80.73
Improvement activities
40
Cost
67.4

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: kaceyannec@bucksfamilymedicine.medentdirect.com

Organizations & group practices 1

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 2

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1811531767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 BIRCH AVE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190475902",
            "telephone_number": "267-230-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE BLDG 4A",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482201",
            "telephone_number": "609-896-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERANKOWSKI",
        "first_name": "KACEYANNE",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00549600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.