Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KRISTI LEE DIVELY DO
NPI 1063447852
Internal Medicine - Addiction Medicine in Lancaster, PA

Active since July 11, 2006PECOS Enrolled
555 N DUKE ST, LANCASTER, PA 17602(717) 544-8144(717) 544-8140 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 17, 2026, Apr 7, 2026, May 16, 2025 and 4 more (7 updates tracked since 2017).

About Dr. Kristi Lee Dively Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRISTI LEE DIVELY DO (NPI 1063447852) is an individual addiction medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (OS012313) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1063447852
Entity TypeIndividualFemale
Primary Taxonomy207RA0401X
Provider Legal NameDR. KRISTI LEE DIVELYCredential: DO
Location Address555 N DUKE STLancaster, PA 17602-2250
Mailing Address555 N Duke StLancaster, PA 17602-2250 · (717) 544-8144 · Fax (717) 544-8140
Fax(717) 544-8140
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2001
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 17, 20267 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
NPI 1063447852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License Licensed in PA · OS012313
Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License OS012313 (PA)
555 N DUKE ST, Lancaster, PA 17602

Secondary Practice Location 1

Location 1540 N Duke StLancaster, PA 17602-2374 · Phone (717) 544-1427

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kristi Lee Dively Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789785387
PECOS Enrollment IDI20100519000146
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
555 N DUKE ST
LANCASTER, PA 17602
Radiology (Diagnostic Radiology)
555 N DUKE ST
LANCASTER, PA 17602
Radiology (Diagnostic Radiology)
555 N DUKE ST
LANCASTER, PA 17602
Nurse Anesthetist, Certified Registered
555 N DUKE ST
LANCASTER, PA 17602
Internal Medicine
555 N DUKE ST
LANCASTER, PA 17602
Family Medicine
555 N DUKE ST
LANCASTER, PA 17602
Emergency Medicine
555 N DUKE ST
LANCASTER, PA 17602
Specialist/Technologist, Pathology
555 N DUKE ST
LANCASTER, PA 17602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063447852, enumerated as an "individual" on July 11, 2006.

The provider is located at 555 N DUKE ST LANCASTER, PA 17602 and the phone number is (717) 544-8144.

Internal Medicine with taxonomy code 207RA0401X and a focus in Addiction Medicine.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.

Kristi Dively is affiliated with: LANCASTER GENERAL HOSPITAL.