Individual provider Active NPI

Kimberly Rae Slider, CRPN

  • Pediatric Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1942972625
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP022644 Issued in PA
Practice address
2645 N 3Rd St FL 2
Harrisburg, PA 17110-2001
Phone
(717) 782-4650
Fax
(717) 782-4665
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP022644 PA
Primary Care Nurse Practitioner 363LP2300X SP022644 PA
Pediatric Nurse Practitioner 363LP0200X SP022644 PA Primary

Addresses

Primary practice location

2645 N 3Rd St FL 2
Harrisburg, PA 17110-2001

Mailing address

111 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7304
Phone (717) 709-7922

Other practice location 1

830 5th Ave Ste 103
Chambersburg, PA 17201-4224
Phone (717) 709-7950

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kslider303608@upmc.direct-ci.com

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
I20211130002465 PA Practitioner - Nurse Practitioner 3173913472 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP022644PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rural Health Center CurrentSince Aug 1, 2025 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
Keystone Rural Health Center Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2025 Accepting new patients
Eden Park Pediatric Associates, LLP Past Accepting new patients

Locations

111 Chambers Hill Dr
Ste 200
Chambersburg, PA 17201
Phone (717) 709-7900

511 S 6th St
Chambersburg, PA 17201
Phone (717) 709-7956

830 5th Ave
Ste 103
Chambersburg, PA 17201
Phone (717) 263-0550

820 5th Ave
Chambersburg, PA 17201
Phone (717) 263-4313

2645 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-4650

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

8105 Adams Dr
Ste C
Hummelstown, PA 17036
Phone (717) 782-5506

45 Roadside Ave
Frnt
Waynesboro, PA 17268
Phone (717) 387-3860

Interoperability endpoints

  • Direct secure messaging: kslider289471@wellspan.direct-ci.com
  • Direct secure messaging: kslider303608@upmc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1942972625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHAMBERS HILL DR STE 200",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017304",
            "telephone_number": "717-709-7922",
            "fax_number": "717-263-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 N 3RD ST FL 2",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171102001",
            "telephone_number": "717-782-4650",
            "fax_number": "717-782-4665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 5th Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014224",
            "country_code": "US",
            "telephone_number": "717-709-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLIDER",
        "first_name": "KIMBERLY",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "CRPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2026-09-02",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP022644",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP022644",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP022644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kslider303608@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.