MS. ELAINE JOAN MCGINTY CRNP
NPI 1164823308
Nurse Practitioner in Hershey, PA

Active since September 08, 2014PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
500 UNIVERSITY DR, HERSHEY, PA 17033(717) 531-8395(717) 531-5726 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2020, May 22, 2017, Mar 1, 2016 (3 updates tracked since 2016).

About Ms. Elaine Joan Mcginty Crnp NPPES

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

MS. ELAINE JOAN MCGINTY CRNP (NPI 1164823308) is an individual nurse practitioner in Hershey, Pennsylvania, licensed in Pennsylvania (SP013968) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Milton S Hershey Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164823308
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. ELAINE JOAN MCGINTYCredential: CRNP
Location Address500 UNIVERSITY DRHershey, PA 17033-2360
Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455
Fax(717) 531-5726
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 8, 2014
Last NPPES UpdateFebruary 4, 20203 updates tracked since enumeration
NPI 1164823308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP013968
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License SP013968 (PA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License SP013968 (PA)
500 UNIVERSITY DR, Hershey, PA 17033

Other Names 1

Former Name (1)Mrs. Elaine Joan Mancuso Bsn

Other Identifiers 1

Medicaid103078073PA

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

Ms. Elaine Joan Mcginty 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 ID4587885892
PECOS Enrollment IDI20141029001282
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers39 claims156 services$6.27 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers21 claims49 services$0.90 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
4 suppliers14 claims1,520 services$6.48 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
17 suppliers323 claims323 services$188.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Internal Medicine (Cardiovascular Disease)
500 UNIVERSITY DR
HERSHEY, PA 17033
Internal Medicine (Cardiovascular Disease)
500 UNIVERSITY DR
HERSHEY, PA 17033
Psychiatry & Neurology (Neurology)
500 UNIVERSITY DR
HERSHEY, PA 17033
Physician Assistant (Medical)
500 UNIVERSITY DR
HERSHEY, PA 17033
Orthopaedic Surgery
500 UNIVERSITY DR
HERSHEY, PA 17033
Pediatrics (Pediatric Critical Care Medicine)
500 UNIVERSITY DR, M.S.HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Surgery
500 UNIVERSITY DR
HERSHEY, PA 17033

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 Elaine Mcginty's NPI number?

The NPI number for Elaine Mcginty is 1164823308. It was assigned to this individual provider in the NPPES registry on September 8, 2014. The provider is also known as Mrs. Elaine Joan Mancuso Bsn.

Where is Elaine Mcginty located?

Elaine Mcginty practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-8395.

What is Elaine Mcginty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elaine Mcginty enrolled in Medicare?

Yes. Elaine Mcginty 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.

Is Elaine Mcginty affiliated with any hospitals?

According to CMS data, Elaine Mcginty is affiliated with Milton S Hershey Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Elaine Mcginty was last updated on February 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.