Individual provider Active NPI

Karyn Kollonige, MSN,RN,CRNP,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1184480428
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP029217 Issued in PA
Practice address
3535 Market St
Suite 5000
Philadelphia, PA 19104-3309
Phone
(215) 746-4110
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP029217 PA Primary

Addresses

Primary practice location

3535 Market St
Suite 5000
Philadelphia, PA 19104-3309

Mailing address

2803 Belmont Ave
Norristown, PA 19403-1640
Phone (570) 362-3341

Other practice location 1

2803 Belmont Ave
Norristown, PA 19403-1640
Phone (570) 362-3341

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
I20240910004632 PA Practitioner - Nurse Practitioner 1456891993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians
Penn Psychiatric Center IncGroup PAC ID 9537055405, 8 clinicians

Practice addresses (Care Compare)

3535 Market St
5TH
Philadelphia, PA 19104-3309
Phone (215) 746-5900

601 Gay St
Phoenixville, PA 19460-3852
Phone (610) 917-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
SP029217PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Feb 16, 2025 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Feb 16, 2025 Accepting new patients
Penn Psychiatric Center Inc CurrentSince Aug 16, 2024 Accepting new patients
Collegeville Psychological Center Inc PastSince Jul 2, 2020 Accepting new patients

Locations

3774 Ridge Pike
Collegeville, PA 19426
Phone (610) 489-3333

3301 Ridge Pike
Norristown, PA 19403
Phone (610) 539-9100

3535 Market St
Fl 5
Philadelphia, PA 19104
Phone (215) 746-5900

601 Gay St
Phoenixville, PA 19460
Phone (610) 917-2200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEDIBA/Endpoint/GEDIBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GEDIBA

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1184480428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 BELMONT AVE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194031640",
            "telephone_number": "570-362-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 MARKET ST",
            "address_2": "SUITE 5000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043309",
            "telephone_number": "215-746-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2803 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Norristown",
            "state": "PA",
            "postal_code": "194031640",
            "country_code": "US",
            "telephone_number": "570-362-3341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLLONIGE",
        "first_name": "KARYN",
        "credential": "MSN,RN,CRNP,PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.