Individual provider Active NPI

Kristen Nicole McGee

  • Psychiatric/Mental Health Nurse Practitioner
  • Churchville, PA
National Provider Identifier
1194590968
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP028610 Issued in PA
Practice address
15 High Point Dr
Churchville, PA 18966-1649
Phone
(267) 304-6567
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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 SP028610 PA Primary

Addresses

Primary practice location

15 High Point Dr
Churchville, PA 18966-1649

Mailing address

15 High Point Dr
Churchville, PA 18966-1649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240301001372 PA Practitioner - Nurse Practitioner 9335584226 Reassigns benefits to 1 organization
I20240515000979 DE Practitioner - Nurse Practitioner 9335584226 Reassigns benefits to 1 organization

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
Your North Wellness PLLCGroup PAC ID 4082062310, 3 clinicians

Practice addresses (Care Compare)

1432 Easton Rd
Warrington, PA 18976-2852
Phone (215) 220-4059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP028610PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Infusions Inc CurrentSince Apr 1, 2024 Accepting new patients
Your North Wellness PLLC Psychiatric/Mental Health CurrentSince Jan 20, 2024 Accepting new patients

Locations

1301 N Harrison St
Ste 102
Wilmington, DE 19806
Phone (302) 268-3353

1432 Easton Rd
Ste 4I
Warrington, PA 18976
Phone (215) 220-4059

Organizations & group practices 2

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": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1194590968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HIGH POINT DR",
            "city": "CHURCHVILLE",
            "state": "PA",
            "postal_code": "189661649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HIGH POINT DR",
            "city": "CHURCHVILLE",
            "state": "PA",
            "postal_code": "189661649",
            "telephone_number": "267-304-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP028610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Churchville, PA

Sources for this page

Verify at the official NPI Registry.