Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Grace Mitcheltree, CRNP

Individual provider Registered Nurse · NPI 1083480578

Jacqueline Grace Mitcheltree, CRNP is a Nurse Practitioner in Harrisburg, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Pinnacle Health Medical Services, a 1,026-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

111 S Frnt ST
Harrisburg, PA 17101-2010
Phone: (717) 231-8772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1995 Technology Pkwy, Mechanicsburg, PA 17050-8522 — (717) 231-8772
  • 1701 Innovation Dr, York, PA 17408-8815 — (717) 231-8772

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence SP028971 (PA)
Registered Nurse Taxonomy 163W00000X · Licence 707775 (PA)

Record details

NPI number1083480578
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedNovember 27, 2023
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pinnacle Health Medical Services — 1026 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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