Active NPI
Pinnacle Health Medical Services
Doing business as Pinnacle Health Evening Care at Camp Hill
- Nurse Practitioner
- Camp Hill, PA
National Provider Identifier
1902125800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- PINNACLE HEALTH MEDICAL SERVICES
- Doing business as
- Pinnacle Health Evening Care at Camp Hill
- Practice address
- 4400 Carlisle Pike
Camp Hill, PA 17011-4132 - Phone
- (717) 975-9800
- Fax
- (717) 975-5509
- NPI assigned
- May 18, 2010
- Last updated
- May 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christopher L Markley
- Title
- Senior VP
- Phone
- (717) 231-8210
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU | Primary | |
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | ||
| General Practice Physician | 208D00000X | NU |
Addresses
Primary practice location
4400 Carlisle Pike
Camp Hill, PA 17011-4132
Mailing address
409 S 2ND St
PO Box 1286
Harrisburg, PA 17104-1612
Phone (717) 231-8960
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029490 | Other | MEDICARE GROUP PROVIDER NUMBER | |
| 1007666760064 | Medicaid | PA |
Other names 1
- Pinnacle Health Evening Care at Camp Hill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040407000180 | PA | Part B Supplier - Clinic/Group Practice | 7618960493 |
Receives reassigned benefits from 2,171 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Harrisburg, PA
- NPI 1336384478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306281600000",
"number": "1902125800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 2ND ST",
"address_2": "PO BOX 1286",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612",
"telephone_number": "717-231-8960",
"fax_number": "717-231-8964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 CARLISLE PIKE",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114132",
"telephone_number": "717-975-9800",
"fax_number": "717-975-5509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE HEALTH MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-18",
"last_updated": "2011-05-25",
"status": "A",
"authorized_official_last_name": "MARKLEY",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SENIOR VP",
"authorized_official_telephone_number": "717-231-8210",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PROVIDER NUMBER",
"identifier": "029490",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007666760064",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pinnacle Health Evening Care at Camp Hill",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Camp Hill, PA
- Pinnacle Health Medical Services (PinnacleHealth Internal Medicine Associates)
- Pinnacle Health Medical Services (Conner, Kusztos Associates)
- Pinnacle Health Medical Services (UPMC Women's Behavioral Health Specialists)
- Pinnacle Health Medical Services (Camp Hill Rheumatology-UPMC)
- Pinnacle Health Medical Services (PinnacleHealth Internal Medicine Camp Hill)
- Pinnacle Health Medical Services (UPMC Grandview Surgical Associates)
- Karen A Pistilli, CNM
- Jillian Pitcher
- Rachel Marie Pitman
- Laurie Pittman, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.