Jennifer Nadine Kepner, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP026791 Issued in PA

Practice address

301 Morea Road
Frackville, PA 17932-0100

Phone

(570) 773-2158

NPI assigned

Feb 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Scalia Primary Care PC

  • Internal Medicine Physician
  • Pine Grove, PA
  • NPI 1952717738
  NPD

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1962101253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 KEEFER RD",
            "city": "PINE GROVE",
            "state": "PA",
            "postal_code": "179638641",
            "telephone_number": "570-345-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MOREA ROAD",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179320100",
            "telephone_number": "570-773-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPNER",
        "first_name": "JENNIFER",
        "middle_name": "NADINE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyssa Marie Johnson, PA-C
• Kira Ann Johnson, NP
• Tyasia Johnson
• Dominic Devon Kadziela, D.C.
• Dennis James Kazmerskidmd, DMD
• Regina Kishbaugh
• Ashley M. Klinger, PA-C
• Brianna Kost
• Jennifer Lynn Kraft, BCBA
• Krafted Care ABA, LLC

• Family Nurse Practitioner in Frackville, PA
• Providers in Frackville, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.

Verify at the official NPI Registry.