Active NPI
Kathryn A. Bonnett, M.D.
- Dermatology Physician
- Enola, PA
National Provider Identifier
1821051632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD055933L
- Practice address
- 1822 Good Hope Rd
Enola, PA 17025-1233 - Phone
- (717) 763-7685
- Fax
- (717) 975-2950
- NPI assigned
- Apr 11, 2006
- Last updated
- May 4, 2026
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD055933L | PA | Primary |
Addresses
Primary practice location
1822 Good Hope Rd
Enola, PA 17025-1233
Mailing address
1822 Good Hope Rd
Enola, PA 17025-1233
Phone (717) 763-7685
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50047360 | Other | PA | CAPITAL BLUE CROSS |
| BO708727 | Other | PA | HIGHMARK BLUE SHIELD |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Wright State University Boonshoft School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1822 Good Hope Rd
Enola, PA 17025-1233
Phone (717) 763-7685
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.03 of 100
- Quality
- 88.06
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1093 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 38 |
| Skin biopsy | 52 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD055933L | PA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crumay Parnes Associates, Inc. | Dermatology | Current | Accepting new patients |
Locations
104 Erford Rd
Camp Hill, PA 17011
Phone (717) 763-7685
1822 Good Hope Rd
Enola, PA 17025
Phone (717) 763-7685
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Enola, PA
- NPI 1548372956
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1821051632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1822 GOOD HOPE RD",
"city": "ENOLA",
"state": "PA",
"postal_code": "170251233",
"telephone_number": "717-763-7685",
"fax_number": "717-975-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1822 GOOD HOPE RD",
"city": "ENOLA",
"state": "PA",
"postal_code": "170251233",
"telephone_number": "717-763-7685",
"fax_number": "717-975-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNETT",
"first_name": "KATHRYN",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "MD055933L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50047360",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "BO708727",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Enola, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.