Individual provider Active NPI

Kelli A Moore, CRNP

  • Family Nurse Practitioner
  • Camp Hill, PA
National Provider Identifier
1841473055
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009629 Issued in PA
Practice address
3301 Trindle Rd
Camp Hill, PA 17011-4413
Phone
(717) 412-7859
Fax
(717) 965-3214
NPI assigned
Dec 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP009629 PA
Family Nurse Practitioner 363LF0000X SP009629 PA Primary

Addresses

Primary practice location

3301 Trindle Rd
Camp Hill, PA 17011-4413

Mailing address

3301 Trindle Rd
Camp Hill, PA 17011-4413
Phone (717) 412-7859

Other identifiers 1

IdentifierTypeStateIssuer
102996254MedicaidPA

Other names 1

  • Kelli A Bair Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmoore297280@upmc.direct-ci.com

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
I20080204000248 PA Practitioner - Nurse Practitioner 1557443231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 3, 2013 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 3, 2013 Accepting new patients
Community Check-Up Center of South Harrisburg Inc Past Accepting new patients
Community Check - Up Center Past Accepting new patients

Locations

3301 Trindle Rd
Camp Hill, PA 17011
Phone (717) 412-7859

207 House Ave
Ste 101
Camp Hill, PA 17011
Phone (717) 761-8331

1830 Good Hope Rd
Enola, PA 17025
Phone (717) 732-8877

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

2151 Linglestown Rd
Ste 100
Harrisburg, PA 17110
Phone (717) 545-4786

1 Kacey Ct
Ste 101
Mechanicsburg, PA 17055
Phone (717) 591-0961

Interoperability endpoints

  • Direct secure messaging: kmoore297280@upmc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEABDD

Organizations & group practices 5

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": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1841473055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114413",
            "telephone_number": "717-412-7859",
            "fax_number": "717-965-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114413",
            "telephone_number": "717-412-7859",
            "fax_number": "717-965-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KELLI",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2026-09-01",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009629",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102996254",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmoore297280@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "BAIR",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.