MS. KIMNGAN THI VELOTT CRNP
NPI 1124494869
Nurse Practitioner - Family in Harrisburg, PA
About Ms. Kimngan Thi Velott Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KIMNGAN THI VELOTT CRNP (NPI 1124494869) is an individual family provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (SP015392) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Harrisburg.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kimngan Thi Velott Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimngan Velott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Harrisburg, PA 17110
- 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17110 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARRISBURG, PA 17110
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 Kimngan Velott's NPI number?
The NPI number for Kimngan Velott is 1124494869. It was assigned to this individual provider in the NPPES registry on August 17, 2015. The provider is also known as Kim Ngan (kimngan) Thi Nguyen Crnp.
Where is Kimngan Velott located?
Kimngan Velott practices at 2401 Park Dr Ste 101, Harrisburg, PA 17110. The listed phone number is (717) 686-9842.
What is Kimngan Velott's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimngan Velott enrolled in Medicare?
Yes. Kimngan Velott is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimngan Velott's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimngan Velott 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 Kimngan Velott'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 Kimngan Velott was last updated on November 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ms. Kimngan Thi Velott, CRNP · NPI 1124494869
Family physician in Harrisburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 17, 2015.
## Identity
- **NPI:** 1124494869 (Entity type: Individual)
- **Enumerated:** August 17, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP015392 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2401 PARK DR STE 101, Harrisburg, PA 17110-9303
- **Phone:** (717) 686-9842
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pinnacle Health Medical Services (NPI 1063850774, Harrisburg, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2019
- **Other identifiers:** Medicaid 103105401 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1124494869) · Data from the CMS NPPES public registry.