JACQUELINE GRACE MITCHELTREE CRNP
NPI 1083480578
Nurse Practitioner - Gerontology in Harrisburg, PA
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, maintains 2 additional practice locations, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Mitcheltree reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Harrisburg, PA 17101
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,902 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
HARRISBURG, PA 17101
HARRISBURG, PA 17101
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 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.
Where is Jacqueline Mitcheltree located?
Jacqueline Mitcheltree practices at 111 S Front St, Harrisburg, PA 17101. The listed phone number is (717) 231-8772.
What is Jacqueline Mitcheltree's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Jacqueline Mitcheltree enrolled in Medicare?
Yes. Jacqueline Mitcheltree is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jacqueline Mitcheltree's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Mitcheltree reassigns Medicare benefits to Pinnacle Health Medical Services (Harrisburg, PA). The 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 Jacqueline Mitcheltree's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacqueline Mitcheltree was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jacqueline Grace Mitcheltree, CRNP · NPI 1083480578
Gerontology physician in Harrisburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 27, 2023.
## Identity
- **NPI:** 1083480578 (Entity type: Individual)
- **Enumerated:** November 27, 2023
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** SP028971 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 S FRONT ST, Harrisburg, PA 17101-2010
- **Phone:** (717) 231-8772
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pinnacle Health Medical Services (NPI 1154752228, Harrisburg, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083480578) · Data from the CMS NPPES public registry.