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

Kelly Jo Rothbart, CRNP

Individual provider Nurse Practitioner · NPI 1902821036

Kelly Jo Rothbart, CRNP is a Nurse Practitioner in Hershey, Pennsylvania. Qualified in 2003, 23 years ago. Practices with The Milton S Hershey Medical Center Physicians Group, a 1,595-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
23
Licensed in
PA
In the registry since
2006
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

500 University Dr
Hershey, PA 17033-2360
Phone: (717) 531-8407
Fax: (717) 531-4077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP008105 (PA)

Record details

NPI number1902821036
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice The Milton S Hershey Medical Center Physicians Group — 1595 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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