Individual provider Active NPI

Kristen Davis

  • Family Nurse Practitioner
  • Northfield, NJ
National Provider Identifier
1023766433
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01260800 Issued in NJ
Practice address
200 Tilton Rd Ste 5
Northfield, NJ 08225-1270
Phone
(856) 308-9293
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01260800 NJ Primary

Addresses

Primary practice location

200 Tilton Rd Ste 5
Northfield, NJ 08225-1270

Mailing address

Schweiger Dermatology 822 Pine Street
Suite 2a
Philadelphia, PA 19107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220629000062 NJ Practitioner - Nurse Practitioner 3779963376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

504 Lippincott Dr
Marlton, NJ 08053-4802
Phone (856) 751-9560

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC CurrentSince Jul 1, 2022 Accepting new patients

Locations

8001 Route 130
Delran, NJ 08075
Phone (856) 461-1400

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

504 Lippincott Dr
Marlton, NJ 08053
Phone (856) 751-9560

200 Tilton Rd
Ste 5
Northfield, NJ 08225
Phone (609) 400-3910

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

246 Hamburg Tpke
Ste 306
Wayne, NJ 07470
Phone (973) 956-0500

2701 Queens Plz N
Fl 10
Long Island City, NY 11101
Phone (203) 996-6379

822 Pine St
Ste 2A
Philadelphia, PA 19107
Phone (267) 519-0154

Interoperability endpoints

  • Direct secure messaging: kristen.caraker@schweigerderm.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1023766433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SCHWEIGER DERMATOLOGY 822 PINE STREET",
            "address_2": "SUITE 2A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TILTON RD STE 5",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251270",
            "telephone_number": "856-308-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01260800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

Verify at the official NPI Registry.