Individual provider Active NPI

Kenneth Adam Hile, CRNP

  • Family Nurse Practitioner
  • Kittanning, PA
National Provider Identifier
1841065232
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP028721 Issued in PA
Practice address
1 Nolte Dr
Kittanning, PA 16201-7111
Phone
(724) 548-1395
Fax
(724) 548-1396
NPI assigned
Nov 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP028721 PA Primary

Addresses

Primary practice location

1 Nolte Dr
Kittanning, PA 16201-7111

Mailing address

PO Box 1001
Kittanning, PA 16201-5001
Phone (724) 548-1395

Other practice location 1

29 E North St Ste 203
New Castle, PA 16101-3741
Phone (724) 856-7055

Other practice location 2

111 Woody Dr
Butler, PA 16001-7603
Phone (724) 287-1000

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
I20240104001877 PA Practitioner - Nurse Practitioner 0244681120 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coordinated Kidney Care Group, Inc. CurrentSince Jan 2, 2024 Accepting new patients

Locations

111 Woody Dr
Ste A
Butler, PA 16001

111 Woody Dr
Butler, PA 16001
Phone (724) 287-1000

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

1 Nolte Dr
Bldg 700
Kittanning, PA 16201
Phone (412) 489-1980

29 E North St
Ste 203
New Castle, PA 16101
Phone (724) 657-3611

Interoperability endpoints

  • Direct secure messaging: khile@ntn.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.

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1841065232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1001",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162015001",
            "telephone_number": "724-548-1395",
            "fax_number": "724-548-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NOLTE DR",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017111",
            "telephone_number": "724-548-1395",
            "fax_number": "724-548-1396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 E North St Ste 203",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161013741",
            "country_code": "US",
            "telephone_number": "724-856-7055",
            "fax_number": "724-856-7034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Woody Dr",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160017603",
            "country_code": "US",
            "telephone_number": "724-287-1000",
            "fax_number": "724-548-1396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILE",
        "first_name": "KENNETH",
        "middle_name": "ADAM",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

Verify at the official NPI Registry.