Individual provider Active NPI

Kirsty M Demille, CRNP

  • Women's Health Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1265197271
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP024300 Issued in PA
Practice address
325 W Broad St
Bethlehem, PA 18018-5526
Phone
(484) 626-9250
Fax
(484) 626-9255
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP024300 PA Primary
Nurse Practitioner 363L00000X SP024300 PA

Addresses

Primary practice location

325 W Broad St
Bethlehem, PA 18018-5526

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 629-2282

Other identifiers 1

IdentifierTypeStateIssuer
SP024300OtherPASTATE LICENSE

Other names 1

  • Kirsty M Patterson Former name

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
I20211116002304 PA Practitioner - Nurse Practitioner 8527457373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

101 W 7TH St
2A LVPG Obstetrics and Gynecology Pennsburg
Pennsburg, PA 18073-1512
Phone (484) 763-5460

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024300PAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Nurse Practitioner Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 15, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 15, 2021 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1245 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-4870

325 W Broad St
Bethlehem, PA 18018
Phone (484) 626-9200

120 Burrus Blvd
Ste 200
Brodheadsville, PA 18322
Phone (570) 420-6300

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

179 Independence Rd
East Stroudsburg, PA 18301
Phone (570) 421-8526

1431 Nursery St
#202
Fogelsville, PA 18051

50 Moisey Dr
Ste 208
Hazle Township, PA 18202
Phone (570) 501-6380

333 Normal Ave
Kutztown, PA 19530
Phone (610) 683-5522

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

237 S Mountain Blvd
Ste 7
Mountain Top, PA 18707
Phone (570) 261-5000

101 W 7th St
Ste 2A
Pennsburg, PA 18073
Phone (215) 257-4866

101 W 7th St
Pennsburg, PA 18073
Phone (215) 679-3200

171 Red Horse Rd
Pottsville, PA 17901
Phone (570) 628-2229

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

6 S Greenview Rd
Schuylkill Haven, PA 17972
Phone (570) 366-3915

600 Commerce Blvd
Stroudsburg, PA 18360
Phone (570) 424-7390

642 State Route 93 Hwy
Sugarloaf, PA 18249
Phone (570) 708-1505

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 5

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": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1265197271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-629-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185526",
            "telephone_number": "484-626-9250",
            "fax_number": "484-626-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMILLE",
        "first_name": "KIRSTY",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP024300",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP024300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SP024300",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTY",
            "last_name": "PATTERSON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.