Individual provider Active NPI

Kristy Liekfet, APN-C

  • Adult Health Nurse Practitioner
  • Atlantic City, NJ
National Provider Identifier
1275133175
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ01068100 Issued in NJ
Practice address
Atlanticare Apg Palliative Care
1925 Pacific Ave. 1St FLR
Atlantic City, NJ 08401
Phone
(609) 345-4000
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ01068100 NJ Primary

Addresses

Primary practice location

Atlanticare Apg Palliative Care
1925 Pacific Ave. 1St FLR
Atlantic City, NJ 08401

Mailing address

Angelic Health
8025 Black Horse Pike, Suite 501
West Atlantic City, NJ 08232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20210218002933 NJ Practitioner - Nurse Practitioner 1153736459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shore Memorial Physicians Group PCGroup PAC ID 4688845191, 25 clinicians

Practice addresses (Care Compare)

401 Bethel Rd
Somers Point, NJ 08244-2108
Phone (609) 365-6200

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Egg Harbor Township, NJ, CCN 317066
  • Patient Care Home health agency, Egg Harbor Township, NJ, CCN 317072
  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01068100NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA Current Accepting new patients
Atlanticare Physician Group, PA CurrentSince Dec 20, 2020 Accepting new patients
Atlanticare Physician Group CurrentSince Dec 20, 2020 Accepting new patients
Shore Memorial Physicians Group PC CurrentSince Feb 10, 2025 Accepting new patients

Locations

1925 Pacific Ave
Fl 1
Atlantic City, NJ 08401
Phone (609) 441-8165

2500 English Creek Ave
Ste 223
Egg Harbor Twp, NJ 08234
Phone (609) 407-2277

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

9501 Ventnor Ave
Margate City, NJ 08402
Phone (609) 822-4800

2605 Shore Rd
Northfield, NJ 08225
Phone (609) 365-5300

401 Bethel Rd
Somers Point, NJ 08244
Phone (609) 356-6200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4024/brand/1/csg/22/fhir/r4
  • Direct secure messaging: kristy.liekfet.1@4024.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1275133175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ANGELIC HEALTH",
            "address_2": "8025 BLACK HORSE PIKE, SUITE 501",
            "city": "WEST ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "08232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ATLANTICARE APG PALLIATIVE CARE",
            "address_2": "1925 PACIFIC AVE. 1ST FLR",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "08401",
            "telephone_number": "609-345-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEKFET",
        "first_name": "KRISTY",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01068100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.