Individual provider Active NPI

Kierstin Kramer, CRNP

  • Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1427874767
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP030525 Issued in PA
Practice address
2418 E York St
Philadelphia, PA 19125-3006
Phone
(215) 774-8290
NPI assigned
Dec 3, 2024
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP030525 PA Primary

Addresses

Primary practice location

2418 E York St
Philadelphia, PA 19125-3006

Mailing address

2099 New Albany Rd
Cinnaminson, NJ 08077-3534
Phone (609) 926-8899

Other practice location 1

9815 Roosevelt Blvd
Philadelphia, PA 19114-1035
Phone (215) 774-8290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250227000069 PA Practitioner - Nurse Practitioner 5395265821 Reassigns benefits to 1 organization
I20250512002612 NJ Practitioner - Nurse Practitioner 5395265821 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
Connolly Dermatology Philadelphia LLCGroup PAC ID 6002229473, 8 clinicians

Practice addresses (Care Compare)

2418 E York St
Philadelphia, PA 19125-3006
Phone (609) 926-8899

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP030525PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coyle S Connolly DO PA Dermatology CurrentSince Jun 1, 2025 Accepting new patients
Connolly Dermatology Philadelphia LLC Dermatology CurrentSince Dec 26, 2024 Accepting new patients

Locations

409 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 427-4336

2099 New Albany Rd
Cinnaminson, NJ 08077
Phone (856) 829-5545

2106 New Rd
Ste D4
Linwood, NJ 08221
Phone (609) 926-6474

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

9815 Roosevelt Blvd
Ste G
Philadelphia, PA 19114
Phone (215) 330-3330

Organizations & group practices 2

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": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1427874767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 NEW ALBANY RD",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773534",
            "telephone_number": "609-926-8899",
            "fax_number": "856-772-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 E YORK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253006",
            "telephone_number": "215-774-8290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9815 Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191141035",
            "country_code": "US",
            "telephone_number": "215-774-8290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "KIERSTIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP030525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.