Individual provider Active NPI

Krupa Chiemelu

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1053078956
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP033309 Issued in PA
Practice address
6129 Palmetto St
Philadelphia, PA 19111-5729
Phone
(848) 248-8844
NPI assigned
Nov 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 478366 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0031090 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP033309 PA Primary

Addresses

Primary practice location

6129 Palmetto St
Philadelphia, PA 19111-5729

Mailing address

6129 Palmetto St
Philadelphia, PA 19111-5729
Phone (848) 248-8844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251104001116 PA Practitioner - Nurse Practitioner 3173027729 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Consultants of Pennsylvania PCGroup PAC ID 0244305597, 13 clinicians
NJ Pacs 2 PAGroup PAC ID 4486903705, 16 clinicians

Practice addresses (Care Compare)

1343 W Baltimore Pike
Media, PA 19063-5519
Phone (484) 443-0070

411 N Middletown Rd
Media, PA 19063-4059
Phone (610) 565-8717

700 N Franklin St
West Chester, PA 19380-2334
Phone (610) 696-5211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
478366OHMDPsychiatric/Mental Health Registered Nurse
APRN.CNP.0031090OHMDPsychiatric/Mental Health Nurse Practitioner
SP033309PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania HM Associates PC CurrentSince Sep 29, 2025 Accepting new patients
Inpatient Consultants of Pennsylvania PC CurrentSince Sep 29, 2025 Accepting new patients
NJ Pacs 2 PA CurrentSince Sep 29, 2025 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 29, 2025 Accepting new patients
Inpatient Consultants of Pennsylvania PC CurrentSince Sep 29, 2025 Accepting new patients

Locations

6129 Palmetto St
Philadelphia, PA 19111
Phone (215) 722-8555

2600 Belmont Ave
Philadelphia, PA 19131
Phone (215) 581-0705

175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000

2815 Byberry Rd
Uppr Moreland, PA 19040
Phone (215) 302-3748

Organizations & group practices 5

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": "1637884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1053078956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6129 PALMETTO ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115729",
            "telephone_number": "848-248-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6129 PALMETTO ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115729",
            "telephone_number": "848-248-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIEMELU",
        "first_name": "KRUPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-26",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "478366",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0031090",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP033309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.