Individual provider Active NPI

Karl G. Hursey, PHD

  • Clinical Psychologist
  • Harrisburg, PA
National Provider Identifier
1881636355
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015698 Issued in PA
Practice address
2595 Interstate Dr
Suite 103
Harrisburg, PA 17110-9378
Phone
(800) 370-3651
Fax
(866) 510-0020
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 584 WV
Health Service Psychologist 103TH0100X PS015698 PA
Clinical Psychologist 103TC0700X PS015698 PA Primary

Addresses

Primary practice location

2595 Interstate Dr
Suite 103
Harrisburg, PA 17110-9378

Mailing address

199 Zimmerman Rd
Waynesburg, PA 15370-3730
Phone (724) 949-0058

Other identifiers 2

IdentifierTypeStateIssuer
0164662000MedicaidWV
276844OtherVALUEOPTIONS PROV NUM

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address khursey303498@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address khursey303498@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070103000059 WV Practitioner - Clinical Psychologist 4789684473 Reassigns benefits to 1 organization
I20140127000358 PA Practitioner - Clinical Psychologist 4789684473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Hospital Center IncGroup PAC ID 8123936010, 290 clinicians

Practice addresses (Care Compare)

227 Medical Park Dr
Suite 103
Bridgeport, WV 26330-8421
Phone (681) 342-3500

Hospital & facility affiliations

  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
584OHMDPeer Specialist
584WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
United Hospital Center, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Meditelecare of Pennsylvania LLC Clinical CurrentSince Apr 1, 2021 Accepting new patients

Locations

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

227 Medical Park Dr
Ste 103
Bridgeport, WV 26330
Phone (681) 342-3561

Interoperability endpoints

  • Direct secure messaging: khursey303498@direct.wvuhsdirect.com

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.

Hospital & facility affiliations 1

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1881636355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 ZIMMERMAN RD",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153703730",
            "telephone_number": "724-949-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 INTERSTATE DR",
            "address_2": "SUITE 103",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109378",
            "telephone_number": "800-370-3651",
            "fax_number": "866-510-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURSEY",
        "first_name": "KARL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "WV",
            "license": "584",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "PA",
            "license": "PS015698",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164662000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS PROV NUM",
            "identifier": "276844",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khursey303498@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "227 Medical Park Dr Ste 103",
            "city": "Bridgeport",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263308421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khursey303498@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "227 Medical Park Dr",
            "city": "Bridgeport",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263308420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.