Individual provider Active NPI

Kathleen A Hill, RN, CRNP

  • Gerontology Nurse Practitioner
  • Bala Cynwyd, PA
National Provider Identifier
1568554145
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
VP003961H Issued in PA
Practice address
225 E City Ave
Bala Cynwyd, PA 19004-1704
Phone
(215) 606-9400
Fax
(215) 521-7174
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X VP003961H PA Primary

Addresses

Primary practice location

225 E City Ave
Bala Cynwyd, PA 19004-1704

Mailing address

225 E City Ave
Bala Cynwyd, PA 19004-1704
Phone (215) 606-9400

Other names 1

  • Kathleen A Tucker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC, SC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20101105000134 PA Practitioner - Nurse Practitioner 6305030156 Reassigns benefits to 2 organizations
I20250204002423 NC Practitioner - Nurse Practitioner 6305030156 Reassigns benefits to 1 organization
I20250722002726 SC Practitioner - Nurse Practitioner 6305030156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patina Medical Group, PCGroup PAC ID 2567828460, 5 clinicians
Patina Medical Group, PCGroup PAC ID 4688038854, 3 clinicians
Methodist Associates in Healthcare, IncGroup PAC ID 6406755651, 387 clinicians

Practice addresses (Care Compare)

Bala Cynwyd, PA 19004
Phone (800) 390-9321

Charlotte, NC 28202
Phone (855) 478-8208

2301 S Broad St
Philadelphia, PA 19148-3542

331 E Main St
Suite 200
Rock Hill, SC 29730-5384
Phone (855) 478-8208

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patina Medical Group, PC CurrentSince Dec 1, 2024 Accepting new patients
Patina Medical Group, PC CurrentSince Jul 1, 2023 Accepting new patients
Genesis Eldercare Physician Services LLC Past Accepting new patients

Locations

525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208

150 Monument Rd
Ste 500
Bala Cynwyd, PA 19004
Phone (800) 390-9321

331 E Main St
Ste 200
Rock Hill, SC 29730
Phone (704) 350-5885

Interoperability endpoints

  • Direct secure messaging: kathleen.hill.p1@direct.tandigmhealth.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1568554145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CITY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041704",
            "telephone_number": "215-606-9400",
            "fax_number": "215-521-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CITY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041704",
            "telephone_number": "215-606-9400",
            "fax_number": "215-521-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "VP003961H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "TUCKER",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.