JACQUELINE GRACE MITCHELTREE CRNP
NPI 1083480578
Nurse Practitioner - Gerontology in Harrisburg, PA

Q: What is Jacqueline Mitcheltree's NPI number?

The NPI number for Jacqueline Mitcheltree is 1083480578. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Q: What is Jacqueline Mitcheltree's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since November 27, 2023PECOS EnrolledAccepts Medicare Assignment

111 S FRONT ST, HARRISBURG, PA 17101(717) 231-8772 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jacqueline Grace Mitcheltree Crnp NPPES

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

JACQUELINE GRACE MITCHELTREE CRNP (NPI 1083480578) is an individual gerontology provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (SP028971) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083480578

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameJACQUELINE GRACE MITCHELTREECredential: CRNP

Location Address111 S FRONT STHarrisburg, PA 17101-2010

Mailing Address111 S Front StHarrisburg, PA 17101-2010 · (717) 231-8772

Phone(717) 231-8772

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 27, 2023

Last NPPES UpdateJune 11, 2024

NPPES CertifiedJune 11, 2024

✔ NPI 1083480578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in PA · SP028971

Also ListedRegistered NurseTaxonomy 163W00000X · License 707775 (PA)

111 S FRONT ST, Harrisburg, PA 17101

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Secondary Practice Locations 2

Location 11995 Technology PkwyMechanicsburg, PA 17050-8522 · Phone (717) 231-8772 · Fax (717) 231-8435

Location 21701 Innovation DrYork, PA 17408-8815 · Phone (717) 231-8772 · Fax (717) 231-8435

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

Jacqueline Grace Mitcheltree Crnp 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 ID6305283714

PECOS Enrollment IDI20240321000353

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

24 services20 patients

Hospital Affiliations CMS Care Compare

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390067

Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17101 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

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.

JOSEPH ELI BENAKNIN D.O.

Emergency Medicine