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KATHERINE L GAFFNEY CRNP
NPI 1497299895
Nurse Practitioner - Family in Harrisburg, PA

Active since December 05, 2016PECOS Enrolled
82.54/100
CMS Quality Rating
805 SIR THOMAS CT STE 2, HARRISBURG, PA 17109(717) 657-3030(717) 671-0991 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 20, 2022, Jul 5, 2022, May 11, 2020 and 1 more (4 updates tracked since 2017).

About Katherine L Gaffney Crnp NPPES

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

KATHERINE L GAFFNEY CRNP (NPI 1497299895) is an individual family provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (SP016884) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains a secondary practice location in Canandaigua.

NPPES Registry Identity

NPI1497299895
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE L GAFFNEYCredential: CRNP
Location Address805 SIR THOMAS CT STE 2Harrisburg, PA 17109-4816
Mailing Address335 Parrish StreetCanandaigua, NY 14424-1794 · (585) 393-2888
Phone(717) 657-3030
Fax(717) 671-0991
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 5, 2016
Last NPPES UpdateDecember 20, 20224 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
✔ NPI 1497299895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in PA · SP016884✔ Licensed in NY · 343106
805 SIR THOMAS CT STE 2, Harrisburg, PA 17109
Open in Google Maps ↗

Secondary Practice Location 1

Location 1335 Parrish StCanandaigua, NY 14424-1728 · Phone (585) 393-2888 · Fax (585) 919-2539

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine L Gaffney Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729362413
PECOS Enrollment IDI20170223002344, I20180921000891
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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Gaffney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pinnacle Health Medical Services
Same address
Orthopaedic Surgery
820 SIR THOMAS CT
Harrisburg, PA 17109
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1770155913 (176) 529-5557

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 6

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.
95 services61 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services13 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.
14 services11 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
11 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 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 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.

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 4

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

MOLLY BRITTON SWEENEY
Nurse Practitioner (Family)
805 SIR THOMAS CT STE 2
HARRISBURG, PA 17109
Dauphin County (717) 657-3030
BASU DHAKAL CRNP
Nurse Practitioner (Family)
805 SIR THOMAS CT STE 2
HARRISBURG, PA 17109
Dauphin County (717) 657-3030
PINNACLE HEALTH MEDICAL SERVICES
Family Medicine
805 SIR THOMAS CT STE 2
HARRISBURG, PA 17109
Dauphin County (717) 657-3030
JENNIFER GILL CRNP
Nurse Practitioner (Family)
805 SIR THOMAS CT STE 2
HARRISBURG, PA 17109
Dauphin County (717) 657-3030

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 Katherine Gaffney's NPI number?

The NPI number for Katherine Gaffney is 1497299895. It was assigned to this individual provider in the NPPES registry on December 5, 2016.

Where is Katherine Gaffney located?

Katherine Gaffney practices at 805 Sir Thomas Ct Ste 2, Harrisburg, PA 17109. The listed phone number is (717) 657-3030.

What is Katherine Gaffney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katherine Gaffney enrolled in Medicare?

Yes. Katherine Gaffney is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Gaffney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Gaffney reassigns Medicare benefits to Pinnacle Health Medical Services (Harrisburg, PA). The 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 Katherine Gaffney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Katherine Gaffney affiliated with any hospitals?

According to CMS data, Katherine Gaffney is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Katherine Gaffney was last updated on December 20, 2022. 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.