Individual provider

Jodi Kneisly, CRNP

Gerontology Nurse Practitioner Medicare enrolled

Jodi Kneisly, CRNP is a Gerontology Nurse Practitioner in State College, PA, registered under NPI 1790430502.

Getting there

The practice address on file is 330 INNOVATION BLVD FL 2, State College, PA 16803. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

330 INNOVATION BLVD FL 2, State College, PA 16803 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
RN556458 PA Gerontology Nurse Practitioner primary

This provider holds licence RN556458 issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
0840687539
Enrollment ID
I20220427002352

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Gerontology covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1790430502 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 21, 2022
Last updatedMay 13, 2026
StatusActive
Sole proprietorNo
CredentialCRNP
Practice address 330 INNOVATION BLVD FL 2
State College, PA 16803
(888) 731-8994
Mailing address 429 4TH AVE FL 7
Pittsburgh, PA 15219
This record was updated on May 13, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1790430502 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 9 0 4 3 0 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 9 0 8 3 0 5 0

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1790430502?
NPI 1790430502 is the National Provider Identifier assigned to Jodi Kneisly, CRNP in State College, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Gerontology cover?
Definition to come...
How do I contact Jodi Kneisly, CRNP?
The phone number on file with NPPES is (888) 731-8994, last updated May 13, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jodi Kneisly, CRNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1790430502 a valid number?
Yes. 1790430502 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.