KIRSTEN ELLEN BUBB (CRNP) – Nurse Practitioner, NPI 1134554751

KIRSTEN ELLEN BUBB (CRNP) is a healthcare provider. based in Williamsport, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. RN574721 (PA). The NPI Number for KIRSTEN ELLEN BUBB (CRNP) is 1134554751

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
KIRSTEN ELLEN BUBB (CRNP)
NPI
1134554751
Phone
(570) 323-8261
Address
1205 RIVER AVE
Enumeration Date
13 September 2013
Last Update Date
1 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5709717121
Graduation Year
2013 (13 years ago)
PAC ID
9537394507
Group Practice PAC ID
6608317029
Professional Enrollment ID
I20131029000019
Address ID
PA177451237LO45XXXAVEX301

Contacts

Secure Messaging
KirstenBubbCRNP@fpc.medentdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

11,473 NURSE PRACTITIONER in PA

Provider Addresses for KIRSTEN ELLEN BUBB (CRNP)

  • 1205 RIVER AVE

    1ST FLOOR

    WILLIAMSPORT, PA 177013724

    Phone: (570) 323-8261

    Fax: (570) 323-6558

    Type: Location

  • 7 DOCK HILL RD

    MIDDLEBURG, PA 178428910

    Phone: (570) 837-2123

    Fax: (570) 837-2185

    Type: Mailing

  • 45 BELLEFONTE AVE

    SUITE #2

    LOCK HAVEN, PA 17745

    Phone: (570) 858-5328

    Fax: (570) 858-5355

    Type: Mailing

  • 1205 RIVER AVE FL 1

    WILLIAMSPORT, PA 177013724

    Phone: (570) 323-5991

    Fax: (570) 601-0302

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $1,586.

Total Amount is formed as General ($1,586) + Research ($0) + Ownership ($0) = $1,586.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($710).

Total Amount

$1,586

General + Research + Ownership

Payments

88

Total payment records

General Amount

$1,586

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131029000019INurse PractitionerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month13325$0
99214Established patient office or other outpatient visit, 30-39 minutes13283$0
99213Established patient office or other outpatient visit, 20-29 minutes10587$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8585$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month8119$0
View full utilization report →

Insurance plans in this area (ZIP 17701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608317029View full group profile
NameSpecialtyState
Physician AssistantPA
Nurse PractitionerPA
Hospitalist, Internal MedicinePA

Reviews

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Frequently asked questions

What NPI should I save for KIRSTEN ELLEN BUBB (CRNP)?
Save NPI 1134554751 if you need a stable reference for KIRSTEN ELLEN BUBB (CRNP).
Is KIRSTEN ELLEN BUBB (CRNP) currently active in the NPI registry?
CMS-published data lists KIRSTEN ELLEN BUBB (CRNP) as an active registrant.
What field does KIRSTEN ELLEN BUBB (CRNP) work in?
You can think of KIRSTEN ELLEN BUBB (CRNP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KIRSTEN ELLEN BUBB (CRNP)'s primary listing?
We display Williamsport, Pennsylvania because that is what the record indicates for KIRSTEN ELLEN BUBB (CRNP).
Is KIRSTEN ELLEN BUBB (CRNP) a real provider?
This page reflects official NPPES data for NPI 1134554751. Always confirm identity and privileges with the practice and licensing boards.

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