MISS KELLY ANNA FETTERHOFF CRNP
NPI 1316556566
Nurse Practitioner - Psychiatric/Mental Health in Harrisburg, PA

Active since July 23, 2020PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
205 S FRONT ST, HARRISBURG, PA 17104(717) 231-8360 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Kelly Anna Fetterhoff Crnp NPPES

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

MISS KELLY ANNA FETTERHOFF CRNP (NPI 1316556566) is an individual psychiatric/mental health provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (SP022261) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1316556566
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMISS KELLY ANNA FETTERHOFFCredential: CRNP
Location Address205 S FRONT STHarrisburg, PA 17104-1619
Mailing Address1699 Pottsville StLykens, PA 17048-9633 · (717) 395-4929
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 23, 2020
NPPES CertifiedJuly 23, 2020
NPI 1316556566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in PA · SP022261
205 S FRONT ST, Harrisburg, PA 17104

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

Miss Kelly Anna Fetterhoff 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 ID5890112544
PECOS Enrollment IDI20200827000025
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

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.

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
12 services12 patients

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, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin 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.

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 20

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

Surgery
205 S FRONT ST, SUITE 200
HARRISBURG, PA 17104
Surgery
205 S FRONT ST, BRADY BUILDING FLOOR 9
HARRISBURG, PA 17104
Student in an Organized Health Care Education/Training Program
205 S FRONT ST, SUITE 3C
HARRISBURG, PA 17104
Psychologist
205 S FRONT ST, 5TH FLOOR BMA
HARRISBURG, PA 17104
Student in an Organized Health Care Education/Training Program
205 S FRONT ST
HARRISBURG, PA 17104
General Practice
205 S FRONT ST
HARRISBURG, PA 17104
Psychiatry & Neurology (Child & Adolescent Psychiatry)
205 S FRONT ST
HARRISBURG, PA 17104
Surgery
205 S FRONT ST, BRADY 9
HARRISBURG, PA 17104

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 Kelly Fetterhoff's NPI number?

The NPI number for Kelly Fetterhoff is 1316556566. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Kelly Fetterhoff located?

Kelly Fetterhoff practices at 205 S Front St, Harrisburg, PA 17104. The listed phone number is (717) 231-8360.

What is Kelly Fetterhoff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelly Fetterhoff enrolled in Medicare?

Yes. Kelly Fetterhoff 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 Kelly Fetterhoff affiliated with any hospitals?

According to CMS data, Kelly Fetterhoff is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Kelly Fetterhoff was last updated on July 23, 2020. 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.