Individual provider Active NPI

Katherine Anita Smollon, CRNP

  • Nurse Practitioner
  • Exton, PA
National Provider Identifier
1447669197
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP022375 Issued in PA
Practice address
750 W Lincoln Hwy
Exton, PA 19341-2547
Phone
(610) 363-0100
NPI assigned
Aug 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R207327 MD
Nurse Practitioner 363L00000X SP022375 PA Primary

Addresses

Primary practice location

750 W Lincoln Hwy
Exton, PA 19341-2547

Mailing address

750 W Lincoln Hwy
Exton, PA 19341-2547
Phone (610) 363-0100

Other practice location 1

2003 Medical Pkwy
Wayson Pavillion, Suite 150
Annapolis, MD 21401-7992
Phone (410) 693-8151

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
I20240318000128 PA Practitioner - Nurse Practitioner 6901128461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Maryland School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christine Meyer MD LLCGroup PAC ID 8325004492, 31 clinicians

Practice addresses (Care Compare)

750 W Lincoln Hwy
Exton, PA 19341-2547
Phone (610) 363-0100

Hospital & facility affiliations

  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP022375PAMDNurse Practitioner
R207327MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Meyer MD LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

680 W Lincoln Hwy
Exton, PA 19341
Phone (610) 363-0100

750 W Lincoln Hwy
Exton, PA 19341
Phone (610) 363-0100

676 W Lincoln Hwy
Exton, PA 19341
Phone (610) 363-0100

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1447669197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W LINCOLN HWY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412547",
            "telephone_number": "610-363-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W LINCOLN HWY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412547",
            "telephone_number": "610-363-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Medical Pkwy",
            "address_2": "Wayson Pavillion, Suite 150",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017992",
            "country_code": "US",
            "telephone_number": "410-693-8151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOLLON",
        "first_name": "KATHERINE",
        "middle_name": "ANITA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R207327",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP022375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.