Individual provider Active NPI

Kelly J Eyer, CRNP

  • Nurse Practitioner
  • Bellefonte, PA
National Provider Identifier
1962974923
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP019831 Issued in PA
Practice address
141 Medical Park LN
Bellefonte, PA 16823-9112
Phone
(814) 355-7322
Fax
(814) 355-9604
NPI assigned
Dec 31, 2018
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP019831 PA Primary
Family Nurse Practitioner 363LF0000X SP019831 PA

Addresses

Primary practice location

141 Medical Park LN
Bellefonte, PA 16823-9112

Mailing address

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000

Other practice location 1

1850 E Park Ave Ste 302
State College, PA 16803-6706
Phone (814) 278-4680

Other practice location 2

1061 N Front St Ste 2
Philipsburg, PA 16866-8257
Phone (814) 376-6200

Other practice location 3

96 Kish Rd
Reedsville, PA 17084-8943
Phone (717) 667-7720

Other practice location 4

2051 S Atherton St
State College, PA 16801-7608
Phone (844) 278-4600

Other practice location 5

955 Bellefonte Ave
Lock Haven, PA 17745-3033
Phone (570) 748-7111 ext. 3344

Other practice location 6

2520 Green Tech Dr Ste C
State College, PA 16803-2308
Phone (814) 278-4898

Other practice location 7

2051 S Atherton St
State College, PA 16801-7608
Phone (844) 278-4600

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
I20191106001276 PA Practitioner - Nurse Practitioner 6305178674 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

141 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-7322

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Nurse Practitioner CurrentSince Dec 2, 2019 Accepting new patients
Geisinger-HM Joint Venture, LLC Nurse Practitioner Current Accepting new patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Geisinger Clinic CurrentSince Dec 2, 2019 Accepting new patients
Mount Nittany Medical Center Health Services Inc Nurse Practitioner CurrentSince Apr 1, 2024 Accepting new patients
Geisinger Clinic CurrentSince Dec 2, 2019 Accepting new patients
Geisinger-HM Joint Venture, LLC Nurse Practitioner CurrentSince Dec 2, 2019 Accepting new patients
Mount Nittany Medical Center Health Services Inc Past Accepting new patients
Penn State Altoona Health and Wellness Center Past Accepting new patients

Locations

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

100 N Academy Ave
Danville, PA 17822

955 Bellefonte Ave
Lock Haven, PA 17745
Phone (570) 748-7714

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

1061 N Front St
Ste 2
Philipsburg, PA 16866
Phone (814) 231-7888

96 Kish Rd
Reedsville, PA 17084
Phone (717) 667-7720

143 Hospital Dr
Ste 302
State College, PA 16803
Phone (814) 278-4680

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

164 Greenview Dr
Ste 485
State College, PA 16803
Phone (814) 278-4898

1700 Old Gatesburg Rd
Ste 310
State College, PA 16803
Phone (814) 237-3122

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

2051 S Atherton St
State College, PA 16801
Phone (844) 278-4600

2520 Green Tech Dr
Ste C
State College, PA 16803
Phone (814) 278-4898

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1962974923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E PARK AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036701",
            "telephone_number": "814-231-7000",
            "fax_number": "814-238-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MEDICAL PARK LN",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168239112",
            "telephone_number": "814-355-7322",
            "fax_number": "814-355-9604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 E Park Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036706",
            "country_code": "US",
            "telephone_number": "814-278-4680",
            "fax_number": "814-235-1523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1061 N Front St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Philipsburg",
            "state": "PA",
            "postal_code": "168668257",
            "country_code": "US",
            "telephone_number": "814-376-6200",
            "fax_number": "814-376-6215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 Kish Rd",
            "address_purpose": "LOCATION",
            "city": "Reedsville",
            "state": "PA",
            "postal_code": "170848943",
            "country_code": "US",
            "telephone_number": "717-667-7720",
            "fax_number": "717-667-7245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2051 S Atherton St",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168017608",
            "country_code": "US",
            "telephone_number": "844-278-4600",
            "fax_number": "814-231-7535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 Bellefonte Ave",
            "address_purpose": "LOCATION",
            "city": "Lock Haven",
            "state": "PA",
            "postal_code": "177453033",
            "country_code": "US",
            "telephone_number": "570-748-7111 x3344",
            "fax_number": "570-893-6325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2520 Green Tech Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032308",
            "country_code": "US",
            "telephone_number": "814-278-4898",
            "fax_number": "814-231-2004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2051 S Atherton St",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168017608",
            "country_code": "US",
            "telephone_number": "844-278-4600",
            "fax_number": "814-231-7535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EYER",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-31",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019831",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefonte, PA

Sources for this page

Verify at the official NPI Registry.