Individual provider Active NPI

Jenny Beth Kinnard, CRNP

  • Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1144972209
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP025139 Issued in PA
Practice address
1632 Pine St
Philadelphia, PA 19103-6711
Phone
(215) 735-7992
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP025139 PA Primary
Internal Medicine Physician 207R00000X SP025139 PA

Addresses

Primary practice location

1632 Pine St
Philadelphia, PA 19103-6711

Mailing address

2234 Brookview PL
Elkins Park, PA 19027-2804
Phone (516) 707-0472

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
I20220207002014 PA Practitioner - Nurse Practitioner 9032502406 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alignmed Medical Group PCGroup PAC ID 3476090440, 62 clinicians

Practice addresses (Care Compare)

30 W Ave
Wayne, PA 19087-3322
Phone (610) 688-3635

3485 Davisville Rd
Hatboro, PA 19040-4220
Phone (215) 830-0400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geps Physician Group of Pennsylvania PC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Alignmed Partners, PC CurrentSince Mar 1, 2023 Accepting new patients
Alignmed Medical Group, PC CurrentSince Oct 15, 2024 Accepting new patients
Geps Physician Group of Pennsylvania, PC CurrentSince Mar 1, 2023 Accepting new patients

Locations

3485 Davisville Rd
Hatboro, PA 19040
Phone (215) 830-0400

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

1718 Spring Creek Rd
Macungie, PA 18062
Phone (610) 366-0500

1194 Naamans Creek Rd
Marcus Hook, PA 19060
Phone (610) 358-6005

5501 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-0600

30 West Ave
Wayne, PA 19087
Phone (610) 688-3235

800 W Miner St
West Chester, PA 19382
Phone (484) 920-6200

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1144972209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 BROOKVIEW PL",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272804",
            "telephone_number": "516-707-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036711",
            "telephone_number": "215-735-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNARD",
        "first_name": "JENNY",
        "middle_name": "BETH",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP025139",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "SP025139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.