Individual provider Active NPI

Kala M Ravert, CRNP

  • Nurse Practitioner
  • Mechanicsburg, PA
National Provider Identifier
1881270759
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP023416 Issued in PA
Practice address
4713 E Trindle Rd
Mechanicsburg, PA 17050-3616
Phone
(717) 737-8686
NPI assigned
Mar 22, 2021
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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 SP023416 PA Primary

Addresses

Primary practice location

4713 E Trindle Rd
Mechanicsburg, PA 17050-3616

Mailing address

1102 Gunstock LN
Mechanicsburg, PA 17050-2008
Phone (717) 339-7199

Other names 1

  • Kala Seaman 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210415000808 PA Practitioner - Nurse Practitioner 3476961244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard Roy Cohen MD LLCGroup PAC ID 5092044529, 3 clinicians

Practice addresses (Care Compare)

4713 E Trindle Rd
Mechanicsburg, PA 17050-3616
Phone (717) 737-8686

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Roy Cohen M.D., LLC CurrentSince Mar 30, 2021 Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

4713 E Trindle Rd
Mechanicsburg, PA 17050
Phone (717) 737-8686

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1881270759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 GUNSTOCK LN",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502008",
            "telephone_number": "717-339-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 E TRINDLE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503616",
            "telephone_number": "717-737-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVERT",
        "first_name": "KALA",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP023416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALA",
            "last_name": "SEAMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.