Individual provider Active NPI

Kristina Marie Singley, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Athens, PA
National Provider Identifier
1558029017
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP024942 Issued in PA
Practice address
216 S Main St
Athens, PA 18810-1632
Phone
(570) 731-0497
Fax
(570) 796-0059
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP024942 PA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403841-01 NY

Addresses

Primary practice location

216 S Main St
Athens, PA 18810-1632

Mailing address

216 S Main St
Athens, PA 18810-1632
Phone (570) 731-0497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 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
I20220120000099 PA Practitioner - Nurse Practitioner 2062804222 Reassigns benefits to 5 organizations
I20250114001356 NY Practitioner - Nurse Practitioner 2062804222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jacqueline Ponticiello Psychiatric NP, PLLCGroup PAC ID 2567990567, 10 clinicians
Vital Healthcare SolutionsGroup PAC ID 3274830336, 107 clinicians
Silver Willow Wellness PCGroup PAC ID 5597271577, 118 clinicians

Practice addresses (Care Compare)

1901 Vestal Pkwy E
Suite 2W
Vestal, NY 13850-1966
Phone (607) 341-4950

2395 Lancaster Pike
Reading, PA 19607-2375
Phone (585) 233-2817

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F403841-01NYMDPsychiatric/Mental Health Nurse Practitioner
SP024942PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deerfield Behavioral Health of Warren, LLC CurrentSince Oct 14, 2021 Accepting new patients
Silver Willow Wellness PC CurrentSince Dec 13, 2025 Accepting new patients
Vital Healthcare Solutions CurrentSince Mar 1, 2025 Accepting new patients
Children'S Center for Treatment and Education CurrentSince Jan 1, 2022 Accepting new patients
Dickinson Center, Inc CurrentSince Jan 1, 2022 Accepting new patients
Jacqueline Ponticiello Psychiatric NP, PLLC Psychiatric/Mental Health CurrentSince Nov 29, 2024 Accepting new patients
Childrens Center for Treatment and Education CurrentSince Jan 1, 2022 Accepting new patients

Locations

1901 Vestal Pkwy E
Ste 2W
Vestal, NY 13850
Phone (607) 341-4950

47 Beacon Light Way
Bradford, PA 16701

23 Kennedy St
Bradford, PA 16701
Phone (814) 723-1832

1001 E 2nd St
Coudersport, PA 16915
Phone (814) 274-7407

2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222

2395 Lancaster Pike
Fl 1
Reading, PA 19607
Phone (570) 561-2990

43 Servidea Dr
Ridgway, PA 15853
Phone (814) 776-0225

1003 Pennsylvania Ave W
Warren, PA 16365
Phone (814) 723-5545

1885 Market St
Warren, PA 16365
Phone (814) 723-1832

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1558029017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S MAIN ST",
            "city": "ATHENS",
            "state": "PA",
            "postal_code": "188101632",
            "telephone_number": "570-731-0497",
            "fax_number": "570-796-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S MAIN ST",
            "city": "ATHENS",
            "state": "PA",
            "postal_code": "188101632",
            "telephone_number": "570-731-0497",
            "fax_number": "570-796-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLEY",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP024942",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403841-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, PA

Sources for this page

Verify at the official NPI Registry.