Individual provider Active NPI

Kristine Emerline Atanacio Lim, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Erie, PA
National Provider Identifier
1306724927
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP033066 Issued in PA
Practice address
1202 State St
Erie, PA 16501-1914
Phone
(814) 454-4530
NPI assigned
Aug 22, 2025
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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 SP033066 PA Primary

Addresses

Primary practice location

1202 State St
Erie, PA 16501-1914

Mailing address

1202 State St
Erie, PA 16501-1914
Phone (814) 454-4530

Other practice location 1

4401 Iroquois Ave
Erie, PA 16511-2219
Phone (814) 464-0509

Other practice location 2

1135 Lake St
Girard, PA 16417-1049
Phone (814) 774-3155

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
I20251014003311 PA Practitioner - Nurse Practitioner 2567959455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health NetGroup PAC ID 1759290588, 16 clinicians

Practice addresses (Care Compare)

1202 State St
Erie, PA 16501-1914
Phone (814) 454-4530

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Net Current Accepting new patients
Community Health Net CurrentSince Sep 8, 2025 Accepting new patients
Community Health Net CurrentSince Sep 8, 2025 Accepting new patients
Community Health Net Past Accepting new patients
Community Health Net Past Accepting new patients

Locations

1202 State St
Erie, PA 16501
Phone (814) 454-4530

4401 Iroquois Ave
Erie, PA 16511
Phone (814) 454-4530

1135 Lake St
Girard, PA 16417
Phone (814) 774-3155

1135 Lake St
Ste 2
Girard, PA 16417
Phone (814) 455-7222

Interoperability endpoints

  • Direct secure messaging: kristine.lim.p1@direct.communityhealthnet.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1306724927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011914",
            "telephone_number": "814-454-4530",
            "fax_number": "814-453-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011914",
            "telephone_number": "814-454-4530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Iroquois Ave",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165112219",
            "country_code": "US",
            "telephone_number": "814-464-0509",
            "fax_number": "814-453-4857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 Lake St",
            "address_purpose": "LOCATION",
            "city": "Girard",
            "state": "PA",
            "postal_code": "164171049",
            "country_code": "US",
            "telephone_number": "814-774-3155",
            "fax_number": "814-453-4857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "KRISTINE EMERLINE",
        "middle_name": "ATANACIO",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.