NPIMap

Individual provider Active NPI

Kristin Kabakoff

  • Adult Health Nurse Practitioner
  • Reinholds, PA
National Provider Identifier
1386036952
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP014572 Issued in PA
Practice address
68 Mechanic St
Reinholds, PA 17569-9701
Phone
(610) 406-7484
NPI assigned
Feb 19, 2015
Last updated
Feb 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN596196 PA
Adult Health Nurse Practitioner 363LA2200X SP014572 PA Primary

Addresses

Primary practice location

68 Mechanic St
Reinholds, PA 17569-9701

Mailing address

68 Mechanic St
Reinholds, PA 17569-9701
Phone (610) 406-7484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150623000934 PA Practitioner - Nurse Practitioner 1052622677 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Health Medical GroupGroup PAC ID 7618889213, 578 clinicians

Practice addresses (Care Compare)

2610 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (484) 750-3950

301 S 7TH Ave
Radiology Tower Health Medical Group
West Reading, PA 19611-1442
Phone (484) 628-8112

420 S 5TH Ave
West Reading, PA 19611-2143

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN596196PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital CurrentSince Aug 29, 2022 Accepting new patients
Reading Hospital CurrentSince Aug 29, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Oct 17, 2016 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 1, 2025 Accepting new patients
Tower Health Medical Group CurrentSince Oct 17, 2016 Accepting new patients
Reading Hospital Current Accepting new patients

Locations

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

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

1416 Penn Ave
Wyomissing, PA 19610
Phone (610) 376-3936

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

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

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": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1386036952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 MECHANIC ST",
            "city": "REINHOLDS",
            "state": "PA",
            "postal_code": "175699701",
            "telephone_number": "610-406-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 MECHANIC ST",
            "city": "REINHOLDS",
            "state": "PA",
            "postal_code": "175699701",
            "telephone_number": "610-406-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABAKOFF",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN596196",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP014572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reinholds, PA

Sources for this page

Verify at the official NPI Registry.