KELSEY S WILEY


Address: 4300 Londonderry Rd, Harrisburg, PA 17109-5317
Phone: 7179880000

KELSEY S WILEY (NPI# 1285161687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285161687
Entity Type Individual
Full Name KELSEY S WILEY
Other Name KELSEY S REILLY
Credential CRNP
Practice Address 4300 Londonderry Rd
Harrisburg
PA 17109-5317
Mailing Address 409 South Second Street
Suite 2f
Harrisburg
PA 17104-1612
Practice Telephone 7179880000
Practice Fax Number 7177825716
Mailing Telephone 7179880000
Mailing Fax Number 7177825716
Enumeration Date 2017-05-16
Last Update Date 2019-05-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP017824 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 103374320 05

Office Location

Street Address 4300 LONDONDERRY RD
City HARRISBURG
State PA
Zip Code 17109-5317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649274598 Stephanie Ann Kramer Nurse Anesthetist, Certified Registered 4300 Londonderry Rd, Harrisburg, PA 17109 2005-06-09
1538780515 Kevin Matthew Nowakowski Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-05-01
1265053417 James Farrell Internal Medicine 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-29
1003436353 Isaac Nivar Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-16
1841819588 Christopher Ferguson Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-13
1679192579 Inderpreet Singh Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-10
1902435373 Timothy Warren Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-07
1902435340 Cameron Park Slane Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-07
1295364974 Kelly Marie Fening Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-05
1437788171 Adrian Julian Lowenfeld Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841786852 Caroline Lippe Surgery Upmc Pinnacle Training Programs, 4300 Londonderry Road, Harrisburg, PA 17109 2018-07-03
1073000477 Sunny R Parekh Orthopaedic Surgery Upmc Pinnacle, 4300 Londonderry Road, Harrisburg, PA 17109 2018-04-20
1003329459 Liyah Care Homecare, LLC In Home Supportive Care 301 N. Progress Ave, #c5, Harrisburg, PA 17109 2017-11-08
1073069951 Hannah Marie Lafleur Specialist/Technologist 500 Nevada Ave., Harrisburg, PA 17109 2016-08-30
1467792333 Donna M Oswandel Registered Nurse 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109 2013-02-28
1841575206 Jeanine D Bucek Nurse Practitioner 550 North Progress Avenue, Harrisburg, PA 17109 2011-10-18
1225348899 Ashley Dominique Hudson Optometrist Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 2010-10-18
1215177183 Schappell Chiropractic, PC Chiropractor 3301 Schoolhouse Lane, Harrisburg, PA 17109 2009-03-04
1902057524 Orthopedic Surgeons Ltd Orthopaedic Surgery 450 Powers Avenue, Harrisburg, PA 17109 2008-10-01
1124286984 Scott Kevin Leedy Dentist 3106 Walnut Street, Harrisburg, PA 17109 2008-05-29
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700409711 Jessica Marie Bell Nurse Practitioner 4760 Union Deposit Rd Ste 100, Harrisburg, PA 17111-3744 2020-05-26
1043848914 Barbara Klinger Nurse Practitioner 2448 Aspen Way, Harrisburg, PA 17110-1711 2020-03-27
1457993271 Christopher William Delong Nurse Practitioner 2501 North 3rd St. Fl 2, Harrisburg, PA 17110 2019-10-14
1396397253 Ellie Ann Hillard Nurse Practitioner 100 N Cameron St Ste 201e, Harrisburg, PA 17101-2412 2019-07-11
1881252989 Jennifer Olewine Nurse Practitioner 8811 Savannah Rd, Harrisburg, NC 28075-7647 2019-06-04
1578030367 Michelle Lee Heim Nurse Practitioner 4700 Union Deposit Rd Ste 240, Harrisburg, PA 17111-3774 2018-10-30
1972058857 Fredericka Brooks Nurse Practitioner 1989 Woodstream Rd, Harrisburg, NC 28075-8341 2016-08-19
1548630551 Harrisburg Medical Partners, LLC Nurse Practitioner 2023 North 2nd Street, Suite 111, Harrisburg, PA 17102 2015-10-02
1588058895 Teresa Williams Nurse Practitioner 209 N Illinois St, Harrisburg, AR 72432-1243 2015-03-25
1891117586 Adam Furfari Nurse Practitioner 2835 N Front St, Harrisburg, PA 17110-1222 2014-01-14
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Competitor

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City HARRISBURG
Zip Code 17109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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