Individual provider Active NPI

Kaitlyn M Leone, CRNP

  • Nurse Practitioner
  • Erie, PA
National Provider Identifier
1861944050
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP016758 Issued in PA
Practice address
2500 Palermo Dr
Erie, PA 16506-7206
Phone
(814) 860-3179
Fax
(814) 616-7400
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP016758 PA Primary

Addresses

Primary practice location

2500 Palermo Dr
Erie, PA 16506-7206

Mailing address

11185 Edinboro Rd Unit D
Edinboro, PA 16412-1080
Phone (814) 983-7818

Other practice location 1

11185 Edinboro Rd Unit D
Edinboro, PA 16412-1080
Phone (814) 983-7818

Other identifiers 2

IdentifierTypeStateIssuer
13943087OtherCAQH
103227450MedicaidPA

Other names 1

  • Kaitlyn M Karl Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kaitlyn@walnutcreekhealth.com
Direct Messaging Address presqueislemind-bodywellnesscenter@hush.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
I20170111002680 PA Practitioner - Nurse Practitioner 3173804820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2500 Palermo Dr
Erie, PA 16506-7206
Phone 81486031794

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KML 814 PLLC CurrentSince Dec 6, 2023 Accepting new patients

Locations

11185 Edinboro Rd
Unit D
Edinboro, PA 16412
Phone (814) 566-8800

2500 Palermo Dr
Erie, PA 16506
Phone (814) 860-3179

Organizations & group practices 2

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": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1861944050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11185 EDINBORO RD UNIT D",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164121080",
            "telephone_number": "814-983-7818",
            "fax_number": "814-200-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PALERMO DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165067206",
            "telephone_number": "814-860-3179",
            "fax_number": "814-616-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11185 Edinboro Rd Unit D",
            "address_purpose": "LOCATION",
            "city": "Edinboro",
            "state": "PA",
            "postal_code": "164121080",
            "country_code": "US",
            "telephone_number": "814-983-7818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONE",
        "first_name": "KAITLYN",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13943087",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103227450",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaitlyn@walnutcreekhealth.com",
            "affiliation": "N",
            "address_1": "11185 Edinboro Rd Unit D",
            "city": "Edinboro",
            "state": "PA",
            "country_code": "US",
            "postal_code": "164121080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "presqueislemind-bodywellnesscenter@hush.com",
            "affiliation": "N",
            "address_1": "2500 Palermo Dr",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165067206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "KARL",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.