Active NPI
Bistra McKee, CRNP
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP031307
- Practice address
- 3400 Civic Center Blvd
Philadelphia, PA 19104-5127 - Phone
- (215) 662-2638
- NPI assigned
- Dec 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP031307 | PA | Primary |
Addresses
Primary practice location
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Mailing address
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Spruce St 210 White BLDG
Renal Electrolyte Hup
Philadelphia, PA 19104-4228
Phone (215) 662-2638
3400 Spruce St 210 White Building
Renal Electrolyte Hup
Philadelphia, PA 19104-4228
Phone (215) 662-2638
Hospital & facility affiliations
- Hospital of Univ of Pennsylvania
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, P.C. | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| University of Penn - Medical Group | Past | Accepting new patients |
Locations
1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336
1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880
554 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-1960
3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
219 N Broad St
Fl 4
Philadelphia, PA 19107
Phone (215) 762-5550
3400 Civic Center Blvd
#1S
Philadelphia, PA 19104
Phone (215) 615-3321
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1043670805
-
- Internal Medicine Physician
- Radnor, PA
- NPI 1972682995
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
-
- Psychologist
- West Chester, PA
- NPI 1649940107
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Nephrology Physician
- Philadelphia, PA
- NPI 1629181912
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1063229151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045127",
"telephone_number": "215-662-2638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEE",
"first_name": "BISTRA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-12",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP031307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.