Active NPI
Abigail Kristine Francisco Motter, CRNP
- Pediatric Nurse Practitioner
- East Berlin, PA
National Provider Identifier
1902560410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP027118
- Practice address
- 470 Bermudian Creek Rd
East Berlin, PA 17316-9623 - Phone
- (717) 432-1543
- NPI assigned
- Oct 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP027118 | PA | Primary |
| Pediatric Registered Nurse | 163WP0200X | RN715996 | PA |
Addresses
Primary practice location
470 Bermudian Creek Rd
East Berlin, PA 17316-9623
Mailing address
470 Bermudian Creek Rd
East Berlin, PA 17316-9623
Phone (717) 432-1543
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN715996 | PA | MD | Pediatric Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Past | Accepting new patients |
Locations
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
655 Walnut St
West Reading, PA 19611
Phone (610) 372-9222
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722729600000",
"number": "1902560410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 BERMUDIAN CREEK RD",
"city": "EAST BERLIN",
"state": "PA",
"postal_code": "173169623",
"telephone_number": "717-432-1543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 BERMUDIAN CREEK RD",
"city": "EAST BERLIN",
"state": "PA",
"postal_code": "173169623",
"telephone_number": "717-432-1543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTTER",
"first_name": "ABIGAIL KRISTINE",
"middle_name": "FRANCISCO",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-30",
"last_updated": "2024-08-04",
"certification_date": "2024-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP027118",
"primary": true
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "PA",
"license": "RN715996",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Berlin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.