Individual provider Active NPI

Stacy Hittner, CRNP

  • Family Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1891191417
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP014563 Issued in PA
Practice address
2401 Park Dr Ste 101
Harrisburg, PA 17110-9303
Phone
(717) 686-9842
NPI assigned
Nov 10, 2014
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 336061 AZ
Family Nurse Practitioner 363LF0000X 10056704 OR
Family Nurse Practitioner 363LF0000X SP014563 PA Primary
Family Nurse Practitioner 363LF0000X 897357 NV

Addresses

Primary practice location

2401 Park Dr Ste 101
Harrisburg, PA 17110-9303

Mailing address

2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950

Other practice location 1

5255 E Williams Cir Ste 3000
Tucson, AZ 85711-7407
Phone (520) 392-8400

Other practice location 2

2500 Bernville Rd
Reading, PA 19605-9453
Phone (610) 378-2000

Other practice location 3

4310 Londonderry Rd Ste 109
Harrisburg, PA 17109-5329
Phone (717) 988-0611

Other practice location 4

880 Seven Hills Dr # 3140
Henderson, NV 89052-4371
Phone (458) 299-9089

Other practice location 5

171 NW Medical Loop Ste 200
Roseburg, OR 97471-8822
Phone (971) 701-9058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OR, NV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150507001338 PA Practitioner - Nurse Practitioner 7911226253 Reassigns benefits to 2 organizations
I20260310003856 OR Practitioner - Nurse Practitioner 7911226253 Reassigns benefits to 1 organization
I20260408003490 NV Practitioner - Nurse Practitioner 7911226253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2370 Corporate Cir
Suite 300
Henderson, NV 89074-7752

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336061AZMDFamily Nurse Practitioner
897357NVMDFamily Nurse Practitioner
10056704ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services PA PC CurrentSince Sep 9, 2025 Accepting new patients
Curana Health of Pennsylvania PC CurrentSince Sep 9, 2025 Accepting new patients
P3 Medical Group PC CurrentSince Feb 1, 2026 Accepting new patients
P3 Health Partners Professional Services PC PastSince Aug 9, 2021 Accepting new patients
Landmark Connect of Pennslyvania PC PastSince Feb 21, 2021 Accepting new patients

Locations

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

2370 Corporate Cir
Ste 300
Henderson, NV 89074
Phone (702) 910-3950

966 12th St SE
Ste 110
Salem, OR 97302
Phone (503) 763-6333

526 N Saint Cloud St
#1601
Allentown, PA 18104

1 Penn Blvd
Philadelphia, PA 19144
Phone (215) 951-8060

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: shittner@landmarkhealth-direct.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1891191417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PARK DR STE 101",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109303",
            "telephone_number": "717-686-9842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5255 E Williams Cir Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857117407",
            "country_code": "US",
            "telephone_number": "520-392-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Bernville Rd",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196059453",
            "country_code": "US",
            "telephone_number": "610-378-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4310 Londonderry Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095329",
            "country_code": "US",
            "telephone_number": "717-988-0611",
            "fax_number": "717-231-8778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 Seven Hills Dr # 3140",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524371",
            "country_code": "US",
            "telephone_number": "458-299-9089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "171 NW Medical Loop Ste 200",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974718822",
            "country_code": "US",
            "telephone_number": "971-701-9058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HITTNER",
        "first_name": "STACY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "336061",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10056704",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014563",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "897357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.