Individual provider Active NPI

Kimberly Ann McAllister, CRNP

  • Family Nurse Practitioner
  • Fairless Hills, PA
National Provider Identifier
1245717438
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018997 Issued in PA
Practice address
504 S Oxford Valley Rd
Fairless Hills, PA 19030-2615
Phone
(215) 945-5720
Fax
(215) 945-3093
NPI assigned
Jul 20, 2018
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP018997 PA Primary

Addresses

Primary practice location

504 S Oxford Valley Rd
Fairless Hills, PA 19030-2615

Mailing address

504 S Oxford Valley Rd
Fairless Hills, PA 19030-2615
Phone (215) 945-5720

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
I20180918000732 PA Practitioner - Nurse Practitioner 5698026474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Pennsylvania LLCGroup PAC ID 5395827307, 84 clinicians

Practice addresses (Care Compare)

3265 County Line Rd
Chalfont, PA 18914-3712
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP018997PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Pennsylvania LLC Family CurrentSince Aug 17, 2018 Accepting new patients

Locations

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

3265 County Line Rd
Chalfont, PA 18914
Phone (215) 996-9809

504 S Oxford Valley Rd
Fairless Hills, PA 19030
Phone (215) 945-5702

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1245717438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302615",
            "telephone_number": "215-945-5720",
            "fax_number": "215-945-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302615",
            "telephone_number": "215-945-5720",
            "fax_number": "215-945-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairless Hills, PA

Sources for this page

Verify at the official NPI Registry.