PRUDENCE JARVIE-KUPETZ (CRNP) – Women's Health Nurse Practitioner, NPI 1538991815

PRUDENCE JARVIE-KUPETZ (CRNP) is a healthcare provider. based in Ephrata, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP030363 (PA). The NPI Number for PRUDENCE JARVIE-KUPETZ (CRNP) is 1538991815

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
PRUDENCE JARVIE-KUPETZ (CRNP)
NPI
1538991815
Phone
Not provided
Address
83 GENTLENESS DR
Enumeration Date
15 August 2024
Last Update Date
15 August 2024

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7173978177833
Graduation Year
2024 (2 years ago)
PAC ID
5698208916
Group Practice PAC ID
8527056670
Professional Enrollment ID
I20241024004630
Address ID
PA176012433LA694XXDRXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for PRUDENCE JARVIE-KUPETZ (CRNP)

  • 83 GENTLENESS DR

    EPHRATA, PA 175229106

    Phone:

    Type: Mailing

  • 694 GOOD DR STE 112

    LANCASTER, PA 176012433

    Phone: (717) 397-8177

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Astellas Pharma US Inc ($125).

Total Amount

$146

General + Research + Ownership

Payments

2

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2024-10-24

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
I20241024004630INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17522)

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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: 8527056670View full group profile
NameSpecialtyState
-PA
Nurse PractitionerPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerPA
O B S T E T R I C S/ G Y N E C O L O G YPA
O B S T E T R I C S/ G Y N E C O L O G YPA
O B S T E T R I C S/ G Y N E C O L O G YPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YPA

Reviews

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Frequently asked questions

What unique ID ties claims to PRUDENCE JARVIE-KUPETZ (CRNP)?
NPI 1538991815 is assigned to PRUDENCE JARVIE-KUPETZ (CRNP) under the national enumeration system.
Is PRUDENCE JARVIE-KUPETZ (CRNP) active in the national directory?
PRUDENCE JARVIE-KUPETZ (CRNP)'s public NPI profile is in an active state.
Can you summarize PRUDENCE JARVIE-KUPETZ (CRNP)'s specialty in plain language?
Clinically, the directory lists PRUDENCE JARVIE-KUPETZ (CRNP) with Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is PRUDENCE JARVIE-KUPETZ (CRNP)'s primary listing?
We display Ephrata, Pennsylvania because that is what the record indicates for PRUDENCE JARVIE-KUPETZ (CRNP).
What if Ephrata, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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