Individual provider Active NPI

Kimberly Anne Goldmacher, CRNP

  • Family Nurse Practitioner
  • Doylestown, PA
National Provider Identifier
1437436953
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP014971 Issued in PA
Practice address
103 Progress Dr Ste 300
Doylestown, PA 18901-2511
Phone
(215) 447-3630
Fax
(215) 230-1943
NPI assigned
Nov 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP011603 PA
Family Nurse Practitioner 363LF0000X SP014971 PA Primary

Addresses

Primary practice location

103 Progress Dr Ste 300
Doylestown, PA 18901-2511

Mailing address

103 Progress Dr Ste 300
Doylestown, PA 18901-2511
Phone (215) 447-3630

Other names 1

  • Kimberly Anne Berk Former name

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
I20120207000149 PA Practitioner - Nurse Practitioner 0042477838 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doylestown Thyroid & Endocrine Associates, LLC CurrentSince Aug 8, 2017 Accepting new patients
Doylestown Orthopaedic Specialists PC PastSince Aug 8, 2017 Accepting new patients

Locations

103 Progress Dr
Ste 300
Doylestown, PA 18901
Phone (215) 345-5840

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1437436953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PROGRESS DR STE 300",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012511",
            "telephone_number": "215-447-3630",
            "fax_number": "215-230-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PROGRESS DR STE 300",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012511",
            "telephone_number": "215-447-3630",
            "fax_number": "215-230-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMACHER",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-11",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP011603",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BERK",
            "middle_name": "ANNE",
            "credential": "MSN, ANP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.