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CAITLYN KACZOR CRNP
NPI 1275921330
Nurse Practitioner - Gerontology in Harrisburg, PA

Active since December 24, 2014PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
205 SOUTH FRONT STREET, 6TH FLOOR BMA, HARRISBURG, PA 17104(717) 988-9370(717) 703-0154 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2023, Jul 27, 2022 (2 updates tracked since 2022).

About Caitlyn Kaczor Crnp NPPES

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

CAITLYN KACZOR CRNP (NPI 1275921330) is an individual gerontology provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (SP014525) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Univ Of Pennsylvania School Of Dental Medicine (2012).

NPPES Registry Identity

NPI1275921330
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameCAITLYN KACZORCredential: CRNP
Location Address205 SOUTH FRONT STREET, 6TH FLOOR BMAHarrisburg, PA 17104-1619
Mailing Address205 South Front Street, 6th Floor BmaHarrisburg, PA 17104-1619 · (717) 988-9370 · Fax (717) 703-0154
Phone(717) 988-9370
Fax(717) 703-0154
Sole ProprietorNo
Medical School CMSUniv Of Pennsylvania School Of Dental MedicineGraduated 2012
Enumeration DateDecember 24, 2014
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1275921330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in PA · SP014525
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP014525 (PA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License SP014525 (PA)
205 SOUTH FRONT STREET, Harrisburg, PA 17104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Caitlyn Kaczor 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 ID1850617358
PECOS Enrollment IDI20150227000775
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 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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
59 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
59 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services43 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.
19 services18 patients
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.
14 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17104 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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

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.

MRS. ELENA YURIEVNA NEBRAT
Nurse Practitioner (Acute Care)
205 SOUTH FRONT STREET, 4TH FLOOR, BMA
HARRISBURG, PA 17104
Dauphin County (717) 231-8555
REBECCA CLONINGER PA-C
Physician Assistant (Surgical)
205 SOUTH FRONT STREET, 6TH FLOOR BMA
HARRISBURG, PA 17104
Dauphin County (717) 988-9370
MARIA AHMAD D.O.
Student in an Organized Health Care Education/Training Program
205 SOUTH FRONT STREET, BRADY 916
HARRISBURG, PA 17104
Dauphin County (717) 231-8755
LINDSEY G ROMBERGER CRNP
Nurse Practitioner (Psychiatric/Mental Health)
205 SOUTH FRONT STREET, 5TH FLOOR BMA
HARRISBURG, PA 17104
Dauphin County (717) 231-8360
ISABELLE ANN ZITTO PA-C
Physician Assistant
205 SOUTH FRONT STREET, 4TH FLOOR BMA
HARRISBURG, PA 17104
Dauphin County (717) 731-0101
MR. ANHAD SINGH BHULLAR MD
Student in an Organized Health Care Education/Training Program
205 SOUTH FRONT STREET, BRADY 916
HARRISBURG, PA 17104
Dauphin County (717) 231-8755
PATRICK MCGUIRE MD
Emergency Medicine
205 SOUTH FRONT STREET, BRADY 3
HARRISBURG, PA 17104
Dauphin County (253) 344-8284
RICHARD T. MILLER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
205 SOUTH FRONT STREET, 4TH FLOOR, BMA
HARRISBURG, PA 17104
Dauphin County (717) 231-8555

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 Caitlyn Kaczor's NPI number?

The NPI number for Caitlyn Kaczor is 1275921330. It was assigned to this individual provider in the NPPES registry on December 24, 2014.

Where is Caitlyn Kaczor located?

Caitlyn Kaczor practices at 205 South Front Street 6th Floor Bma, Harrisburg, PA 17104. The listed phone number is (717) 988-9370.

What is Caitlyn Kaczor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Caitlyn Kaczor enrolled in Medicare?

Yes. Caitlyn Kaczor 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.

What insurance does Caitlyn Kaczor accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Caitlyn Kaczor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Caitlyn Kaczor affiliated with any hospitals?

According to CMS data, Caitlyn Kaczor is affiliated with Reading Hospital, Pottstown Hospital and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for Caitlyn Kaczor was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.