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

Individual provider Nurse Practitioner · NPI 1811679665

Leroy Ketner III, CRNP is a Nurse Practitioner in West Reading, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Tower Health Medical Group, a 579-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
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

420 S 5th Ave
West Reading, PA 19611-2143
Phone: (484) 628-5455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 University Dr, Hershey, PA 17033-2360 — (717) 531-7299

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP028098 (PA)

Record details

NPI number1811679665
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 2, 2023
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

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 Tower Health Medical Group — 579 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Reading