Individual provider Active NPI

Christina Danielle Nevins, CRNP

  • Primary Care Nurse Practitioner
  • Media, PA
National Provider Identifier
1245844893
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SPO22311 Issued in PA
Practice address
602 E Baltimore Pike
Media, PA 19063-1735
Phone
(484) 868-8258
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SPO22311 PA Primary

Addresses

Primary practice location

602 E Baltimore Pike
Media, PA 19063-1735

Mailing address

2 University PLZ Ste 204
Hackensack, NJ 07601-6211
Phone (551) 295-8223

Other practice location 1

101 Greenwood Ave Ste 240
Jenkintown, PA 19046-2634
Phone (551) 295-8223

Other practice location 2

325-41 Chestnut Street
Suite 800
Philadelphia,, PA 19106
Phone (551) 295-8223

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
I20210106002053 PA Practitioner - Nurse Practitioner 5395158646 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ennoble HC NJ PCGroup PAC ID 0345638185, 129 clinicians

Practice addresses (Care Compare)

325 Chestnut St
Suite 800
Philadelphia, PA 19106-2608
Phone (973) 241-1356

Hospital & facility affiliations

  • Main Line Health Home Care & Hospice - Home Health Home health agency, Radnor, PA, CCN 397012
  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015
  • Bayada Home Health Care, Inc. Home health agency, Newtown Square, PA, CCN 398267
  • Residential Home Health of Carlisle LLC Home health agency, Havertown, PA, CCN 397645
  • Sigma Home Healthcare, Inc. Home health agency, Phildelphia, PA, CCN 398294

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SPO22311PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. Current Accepting new patients
Ennoble HC NJ PC CurrentSince Jan 13, 2025 Accepting new patients
Ennoble HC NJ III PC CurrentSince Aug 17, 2025 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Osh - PA Physicians Group, PC CurrentSince Oct 22, 2022 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Ennoble HC NJ II PC CurrentSince Aug 17, 2025 Accepting new patients
Clinical Renal Associates, LLC CurrentSince May 1, 2022 Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

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

30 Medical Center Blvd
Ste 303
Chester, PA 19013

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

1 Medical Center Blvd
#331
Chester, PA 19013
Phone (610) 447-2320

1501 Lansdowne Ave
Ste 201
Darby, PA 19023
Phone (215) 534-6230

860 Springdale Dr
Ste 100
Exton, PA 19341
Phone (610) 524-3703

101 Greenwood Ave
Ste 140
Jenkintown, PA 19046
Phone (973) 241-1356

325 Chestnut St
Ste 800
Philadelphia, PA 19106
Phone 9732411356 ext. 11356

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

1200 W Godfrey Ave
Ste 3100
Philadelphia, PA 19141
Phone (215) 444-7469

1 Bartol Ave
Ste 103
Ridley Park, PA 19078
Phone (610) 521-3022

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4

Organizations & group practices 8

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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1245844893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UNIVERSITY PLZ STE 204",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016211",
            "telephone_number": "551-295-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E BALTIMORE PIKE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631735",
            "telephone_number": "484-868-8258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Greenwood Ave Ste 240",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "190462634",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325-41 Chestnut Street",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Philadelphia,",
            "state": "PA",
            "postal_code": "19106",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEVINS",
        "first_name": "CHRISTINA",
        "middle_name": "DANIELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SPO22311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.