Active NPI
Bethany Melissa Krotzer, PA-C
- Physician Assistant
- Camp Hill, PA
National Provider Identifier
1992004873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA054727
- Practice address
- 3301 Trindle Rd
Camp Hill, PA 17011-4413 - Phone
- (717) 412-7859
- Fax
- (717) 965-3214
- NPI assigned
- Mar 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA054727 | PA | Primary |
Addresses
Primary practice location
3301 Trindle Rd
Camp Hill, PA 17011-4413
Mailing address
409 S 2ND St
Suite 2F
Harrisburg, PA 17104-1612
Phone (717) 412-7859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103146084 | Medicaid | PA |
Other names 1
- Bethany Melissa Rhoads
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bkrotzer7696@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA054727 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1992004873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 2ND ST",
"address_2": "SUITE 2F",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612",
"telephone_number": "717-412-7859",
"fax_number": "717-965-3214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 TRINDLE RD",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114413",
"telephone_number": "717-412-7859",
"fax_number": "717-965-3214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROTZER",
"first_name": "BETHANY",
"middle_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-18",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA054727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103146084",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bkrotzer7696@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "3301 Trindle Rd",
"city": "Camp Hill",
"state": "PA",
"country_code": "US",
"postal_code": "170114413",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BETHANY",
"last_name": "RHOADS",
"middle_name": "MELISSA",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.