KEYSTONE RURAL HEALTH CONSORTIA, INC.
NPI 1053784942
Clinic/Center - Federally Qualified Health Center (FQHC) in Kersey, PA
About Keystone Rural Health Consortia, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEYSTONE RURAL HEALTH CONSORTIA, INC. (NPI 1053784942) is a healthcare organization registered as a federally qualified health center (fqhc) in Kersey, Pennsylvania and active in the NPI registry since November 2015. The organization lists Kristie Bennardi, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keystone Rural Health Consortia, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Keystone Rural Health Consortia, Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keystone Rural Health Consortia, Inc.'s NPI number?
The NPI number for Keystone Rural Health Consortia, Inc. is 1053784942. It was assigned to this organization in the NPPES registry on November 2, 2015.
Where is Keystone Rural Health Consortia, Inc. located?
Keystone Rural Health Consortia, Inc. is located at 172 Skyline Drive, Kersey, PA 15846. The listed phone number is (814) 486-1115.
What is Keystone Rural Health Consortia, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Keystone Rural Health Consortia, Inc. enrolled in Medicare?
Yes. Keystone Rural Health Consortia, Inc. is registered in the Medicare PECOS enrollment system.
When is Keystone Rural Health Consortia, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Keystone Rural Health Consortia, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 5 Medicare specialties reassign their Medicare billing to Keystone Rural Health Consortia, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Chiropractic (1) and Clinical Social Worker (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Keystone Rural Health Consortia, Inc. was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Keystone Rural Health Consortia, Inc. · NPI 1053784942
Federally Qualified Health Center (FQHC) organization in Kersey, Pennsylvania. Organization record, active in the CMS NPPES registry since November 2, 2015.
## Identity
- **NPI:** 1053784942 (Entity type: Organization)
- **Enumerated:** November 2, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Kristie Bennardi, CEO
## Practice location
- **Address:** 172 SKYLINE DRIVE, Kersey, PA 15846
- **Phone:** (814) 486-1115
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Chiropractic (1), Clinical Social Worker (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1053784942) · Data from the CMS NPPES public registry.