Individual provider Active NPI

Kristen Nicole Eppolite, PA-C

  • Physician Assistant
  • Exton, PA
National Provider Identifier
1265685473
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053690 Issued in PA
Practice address
479 Thomas Jones Way Ste 300
Exton, PA 19341-2552
Phone
(610) 280-9999
Fax
(215) 615-1320
NPI assigned
Oct 31, 2008
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA053690 PA Primary

Addresses

Primary practice location

479 Thomas Jones Way Ste 300
Exton, PA 19341-2552

Mailing address

479 Thomas Jones Way Ste 300
Exton, PA 19341-2552
Phone (610) 280-9999

Other names 1

  • Mrs. Kristen Nicole Eppolite Professional 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
I20130918000469 PA Practitioner - Physician Assistant 1759525595 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

105 Vineyard Way
101 Penn Orthopaedics Southern Chester Coun
West Grove, PA 19390-8849
Phone (610) 869-4830

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

3400 Spruce St
Philadelphia, PA 19104-4206

3400 Spruce Street 5 White BLDG
Oral and Maxillofacial Surgery Hup
Philadelphia, PA 19104-4206
Phone (215) 829-6079

701 E Marshall St
West Chester, PA 19380-4412

701 E Marshall Street 2ND Floor
Cardiac Surgery Chester County
West Chester, PA 19380-4412
Phone (610) 738-2690

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA053690PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Nov 21, 2017 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince May 15, 2017 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Dec 3, 2017 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince May 15, 2017 Accepting new patients
University of Penn-Medical Group CurrentSince Nov 21, 2017 Accepting new patients

Locations

479 Thomas Jones Way
Ste 300
Exton, PA 19341
Phone (610) 280-9999

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1265685473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 THOMAS JONES WAY STE 300",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412552",
            "telephone_number": "610-280-9999",
            "fax_number": "215-615-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 THOMAS JONES WAY STE 300",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412552",
            "telephone_number": "610-280-9999",
            "fax_number": "215-615-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPOLITE",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "EPPOLITE",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.