Individual provider Active NPI

Abigail Kristine Francisco Motter, CRNP

  • Pediatric Nurse Practitioner
  • East Berlin, PA
National Provider Identifier
1902560410
Registry record updated Aug 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP027118 Issued in PA
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

Updated by the provider on Aug 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230601000621 PA Practitioner - Nurse Practitioner 6305203613 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN715996PAMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Jul 17, 2023 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jul 17, 2023 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.

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

Verify at the official NPI Registry.