Individual provider Active NPI

Kelsey Marie Hayden-Whiteman, DO

  • Pediatrics Physician
  • Carlisle, PA
National Provider Identifier
1881257244
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS022052 Issued in PA
Practice address
1211 Forge Rd Ste 300
Carlisle, PA 17013-3183
Phone
(717) 218-3920
NPI assigned
Apr 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS022052 PA Primary

Addresses

Primary practice location

1211 Forge Rd Ste 300
Carlisle, PA 17013-3183

Mailing address

138 Copperleaf Dr
Mechanicsburg, PA 17050-9206
Phone (717) 314-9799

Other names 1

  • Dr. Kelsey Marie Hayden Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241004000178 PA Practitioner - Pediatric Medicine 7618408444 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS022052PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Sep 23, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Sep 23, 2024 Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients

Locations

1211 Forge Rd
Ste 300
Carlisle, PA 17013
Phone (717) 218-3920

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

Organizations & group practices 4

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": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1881257244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 COPPERLEAF DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509206",
            "telephone_number": "717-314-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 FORGE RD STE 300",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133183",
            "telephone_number": "717-218-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN-WHITEMAN",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-20",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS022052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "HAYDEN",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.