Active NPI
Kyle William Bessemer
- Family Nurse Practitioner
- Plymouth Meeting, PA
National Provider Identifier
1427640713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP022686
- Practice address
- 2901 Jolly Rd
Plymouth Meeting, PA 19462-2324 - Phone
- (610) 272-8221
- NPI assigned
- Feb 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN624174 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP022686 | PA | Primary |
Addresses
Primary practice location
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Mailing address
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221
Hospital & facility affiliations
- Accentcare Home Health of Central Pennsylvania
- Accentcare Health of Pennsylvania
- Reading Hospital
- Pottstown Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN624174 | PA | MD | Registered Nurse |
| SP022686 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Violet Valley Long Term Care PC | Current | Accepting new patients | |
| Suburban Geriatrics II PC | Current | Accepting new patients | |
| Suburban Geriatrics, Inc. | Current | Accepting new patients |
Locations
2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222
2125 Elizabeth Ave
Reading, PA 19605
Phone (610) 921-9292
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.
-
- Internal Medicine Physician
- Plymouth Meeting, PA
- NPI 1073273363
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth Meeting, PA
- NPI 1679594808
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth Meeting, PA
- NPI 1649164617
-
- Internal Medicine Physician
- Plymouth Meeting, PA
- NPI 1568122844
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pottstown, PA
- NPI 1649794421
-
- General Acute Care Hospital
- West Reading, PA
- NPI 1467007112
-
- General Acute Care Hospital
- West Reading, PA
- NPI 1669530069
-
- Home Health Agency
- Bristol, PA
- NPI 1518901610
-
- Home Health Agency
- Elizabethtown, PA
- NPI 1083784219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1427640713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 JOLLY RD",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622324",
"telephone_number": "610-272-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 JOLLY RD",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622324",
"telephone_number": "610-272-8221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESSEMER",
"first_name": "KYLE",
"middle_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-08",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN624174",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP022686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.