Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: What is Kristi Dively's NPI number?

The NPI number for Kristi Dively is 1063447852. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Kristi Dively's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Q: When was this NPI record last updated?

The NPPES record for Kristi Dively was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment

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: August 16, 2026.

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

On this page

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 is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2001).

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

Phone(717) 544-8144

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

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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.

TYLER JOHNSTON MD

Family Medicine