Individual provider Active NPI

Chrystine Marie Palomba, CRNP

  • Gerontology Nurse Practitioner
  • Aston, PA
National Provider Identifier
1235792870
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
020691 Issued in PA
Practice address
5027 Pennell Rd
Aston, PA 19014-1869
Phone
(484) 227-9440
Fax
(484) 227-9465
NPI assigned
Apr 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN317849L PA
Gerontology Nurse Practitioner 363LG0600X 020691 PA Primary

Addresses

Primary practice location

5027 Pennell Rd
Aston, PA 19014-1869

Mailing address

5027 Pennell Rd
Aston, PA 19014-1869
Phone (484) 227-9440

Other practice location 1

300 Evergreen Dr Ste 310
Glen Mills, PA 19342-1059
Phone (610) 579-3555

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
I20200130000008 PA Practitioner - Nurse Practitioner 7113353715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

5027 Pennell Rd
Aston, PA 19014-1869
Phone (484) 227-9440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN317849LPAMDRegistered Nurse
020691PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare CurrentSince Jan 11, 2023 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Feb 3, 2020 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Feb 3, 2020 Accepting new patients
Prospect Health Access Network, Inc. Past Accepting new patients

Locations

5027 Pennell Rd
Aston, PA 19014
Phone (484) 227-9440

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

300 Evergreen Dr
Ste 310
Glen Mills, PA 19342
Phone (610) 579-3444

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Interoperability endpoints

  • Direct secure messaging: chrystine.palomba@chpm.cernerdirect.com

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.

Hospital & facility affiliations 4

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": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1235792870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 PENNELL RD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190141869",
            "telephone_number": "484-227-9440",
            "fax_number": "484-227-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 PENNELL RD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190141869",
            "telephone_number": "484-227-9440",
            "fax_number": "484-227-9465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Evergreen Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193421059",
            "country_code": "US",
            "telephone_number": "610-579-3555",
            "fax_number": "610-579-3566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALOMBA",
        "first_name": "CHRYSTINE",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN317849L",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "020691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aston, PA

Sources for this page

Verify at the official NPI Registry.