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

Kelsey Koontz

Individual provider Physician Assistant · NPI 1275158115

Kelsey Koontz is a Physician Assistant in Hershey, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Susquehanna Physician Services, a 612-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

121 Towne Square Dr Ste 301
Hershey, PA 17033-9440
Phone: (717) 988-8320
Fax: (717) 221-5397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 503 N 21st St, Camp Hill, PA 17011-2204 — (717) 531-5638
  • 800 S Logan Blvd, Hollidaysburg, PA 16648-3050 — (814) 889-3600

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence OA005245 (PA)
Physician Assistant Taxonomy 363A00000X · Licence MA061679 (PA)

Record details

NPI number1275158115
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2020
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing address121 Towne Square Dr Ste 301, Hershey, PA 17033-9440

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Susquehanna Physician Services — 612 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Hershey