Individual provider Active NPI

Kimberly Ann Kronket, CRNP

  • Family Nurse Practitioner
  • MC Murray, PA
National Provider Identifier
1306196407
Registry record updated Sep 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012247 Issued in PA
Practice address
510 Robinhood LN
MC Murray, PA 15317-2719
Phone
(724) 942-5402
NPI assigned
Sep 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2012

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 SP012247 PA Primary

Addresses

Primary practice location

510 Robinhood LN
MC Murray, PA 15317-2719

Mailing address

510 Robinhood LN
MC Murray, PA 15317-2719
Phone (724) 942-5402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV, IA, WI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180706000993 PA Practitioner - Nurse Practitioner 3779839626 Reassigns benefits to 1 organization
I20231018004033 WV Practitioner - Nurse Practitioner 3779839626 Reassigns benefits to 3 organizations
I20240503001238 IA Practitioner - Nurse Practitioner 3779839626 Reassigns benefits to 1 organization
I20240510001090 WI Practitioner - Nurse Practitioner 3779839626 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Apr 1, 2024 Accepting new patients
Matrix Medical Plus CurrentSince Sep 4, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Matrix Medical Network of West CurrentSince Sep 4, 2023 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

4620 E 53rd St
Ste 200
Davenport, IA 52807
Phone (563) 213-5100

400 E Court Ave
Ste 110
Des Moines, IA 50309

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

250 E Wisconsin Ave
Fl 18
Milwaukee, WI 53202
Phone (303) 748-5781

209 Washington St W
Charleston, WV 25302
Phone 24852821166

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.

NPI Registry JSON

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

{
    "created_epoch": "1347667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347667200000",
    "number": "1306196407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ROBINHOOD LN",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172719",
            "telephone_number": "724-942-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ROBINHOOD LN",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172719",
            "telephone_number": "724-942-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONKET",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-15",
        "last_updated": "2012-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Murray, PA

Sources for this page

Verify at the official NPI Registry.