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KELSEY KOONTZ
NPI 1275158115
Physician Assistant - Surgical in Hershey, PA

Active since June 16, 2020PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
121 TOWNE SQUARE DR STE 301, HERSHEY, PA 17033(717) 988-8320(717) 221-5397 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2025, Dec 19, 2024, Feb 5, 2024 and 2 more (5 updates tracked since 2020).

About Kelsey Koontz NPPES

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

KELSEY KOONTZ (NPI 1275158115) is an individual surgical provider in Hershey, Pennsylvania, licensed in Pennsylvania (OA005245) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Upmc Williamsport, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275158115
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKELSEY KOONTZ
Location Address121 TOWNE SQUARE DR STE 301Hershey, PA 17033-9440
Mailing Address121 Towne Square Dr Ste 301Hershey, PA 17033-9440 · (717) 988-8320 · Fax (717) 221-5397
Phone(717) 988-8320
Fax(717) 221-5397
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 16, 2020
Last NPPES UpdateMay 30, 20255 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1275158115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in PA · OA005245
Also ListedPhysician AssistantTaxonomy 363A00000X · License MA061679 (PA)
121 TOWNE SQUARE DR STE 301, Hershey, PA 17033
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1800 S Logan Blvd, Suite 2200Hollidaysburg, PA 16648-3050 · Phone (814) 889-3600
Location 2503 N 21st StCamp Hill, PA 17011-2204 · Phone (717) 531-5638

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

Kelsey Koontz 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 ID749606465
PECOS Enrollment IDI20200812001400
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.

Hospital Affiliations CMS Care Compare

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

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390045
Location700 High StreetWilliamsport, PA 17701 · Lycoming County
Emergency services Birthing friendly

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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRA L VOLOVAR PA-C
Physician Assistant
121 TOWNE SQUARE DR STE 301
HERSHEY, PA 17033
Dauphin County (717) 988-8320
SARAH E OSTERHOUDT CRNP
Nurse Practitioner (Family)
121 TOWNE SQUARE DR STE 301
HERSHEY, PA 17033
Dauphin County (717) 988-8320
LAUREN ZEITLINGER DO
Orthopaedic Surgery
121 TOWNE SQUARE DR STE 301
HERSHEY, PA 17033
Dauphin County (717) 988-8320
MARY ADAMS BRETT CRNP
Nurse Practitioner (Family)
121 TOWNE SQUARE DR STE 301
HERSHEY, PA 17033
Dauphin County (717) 988-8320
AARON RATHSAM DPM
Podiatrist (Foot & Ankle Surgery)
121 TOWNE SQUARE DR STE 301
HERSHEY, PA 17033
Dauphin County (717) 988-8320
PINNACLE HEALTH MEDICAL SERVICES
Orthopaedic Surgery
121 TOWNE SQUARE DR STE 301
HERSHEY, PA 17033
Dauphin County (717) 988-8320
SYED HAZIQUE MAHMOOD MD
Physical Medicine & Rehabilitation (Pain Medicine)
121 TOWNE SQUARE DR STE 301
HERSHEY, PA 17033
Dauphin County (717) 988-8320

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 Kelsey Koontz's NPI number?

The NPI number for Kelsey Koontz is 1275158115. It was assigned to this individual provider in the NPPES registry on June 16, 2020.

Where is Kelsey Koontz located?

Kelsey Koontz practices at 121 Towne Square Dr Ste 301, Hershey, PA 17033. The listed phone number is (717) 988-8320.

What is Kelsey Koontz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kelsey Koontz enrolled in Medicare?

Yes. Kelsey Koontz 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 Kelsey Koontz affiliated with any hospitals?

According to CMS data, Kelsey Koontz is affiliated with Upmc Williamsport.

When was this NPI record last updated?

The NPPES record for Kelsey Koontz was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.