MARISA JOY KENNEL CRNP
NPI 1184297293
Nurse Practitioner - Family in Harrisburg, PA
About Marisa Joy Kennel Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISA JOY KENNEL CRNP (NPI 1184297293) is an individual family provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (SP024131) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 3
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
Marisa Joy Kennel 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 Reassignments
2Medicare enrollment records show Marisa Kennel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Harrisburg, PA 17109
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,902 clinicians in this Medicare group
Harrisburg, PA 17104
- Reassigned Medicare billing, Pennsylvania enrollment
- 468 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 7
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.
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, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARRISBURG, PA 17109
HARRISBURG, PA 17109
HARRISBURG, PA 17109
HARRISBURG, PA 17109
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 Marisa Kennel's NPI number?
The NPI number for Marisa Kennel is 1184297293. It was assigned to this individual provider in the NPPES registry on July 19, 2021. The provider is also known as Marisa Weaver.
Where is Marisa Kennel located?
Marisa Kennel practices at 810 Sir Thomas Ct, Harrisburg, PA 17109. The listed phone number is (717) 614-4420.
What is Marisa Kennel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marisa Kennel enrolled in Medicare?
Yes. Marisa Kennel 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 organizations bill Medicare for Marisa Kennel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Kennel reassigns Medicare benefits to 2 organizations: Pinnacle Health Medical Services (Harrisburg, PA) and Pinnacle Health Regional Physicians (Harrisburg, PA). Each 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 Marisa Kennel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Marisa Kennel affiliated with any hospitals?
According to CMS data, Marisa Kennel is affiliated with Upmc Pinnacle Hospitals.
When was this NPI record last updated?
The NPPES record for Marisa Kennel was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Marisa Joy Kennel, CRNP · NPI 1184297293
Family physician in Harrisburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 19, 2021.
## Identity
- **NPI:** 1184297293 (Entity type: Individual)
- **Enumerated:** July 19, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP024131 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 810 SIR THOMAS CT, Harrisburg, PA 17109-4839
- **Phone:** (717) 614-4420
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Pinnacle Health Medical Services (NPI 1699113316, Harrisburg, PA); Pinnacle Health Regional Physicians (NPI 1013441690, Harrisburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1184297293) · Data from the CMS NPPES public registry.