Individual provider Active NPI

Jacqueline B Kinsey, CRNP

  • Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1598045122
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP011504 Issued in PA
Practice address
515 W Chelten Ave
Philadelphia, PA 19144-4414
Phone
(215) 848-6700
NPI assigned
Aug 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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 SP011504 PA Primary

Addresses

Primary practice location

515 W Chelten Ave
Philadelphia, PA 19144-4414

Mailing address

515 W Chelten Ave
Philadelphia, PA 19144-4414
Phone (215) 848-6700

Other identifiers 4

IdentifierTypeStateIssuer
363LP2300XMedicaidPA
363LC1500XMedicaidPA
363LA2100XMedicaidPA
363LA2200XMedicaidPA

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
I20111006000186 PA Practitioner - Nurse Practitioner 5496927956 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3008

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Current Accepting new patients
Montgomery County Pulmonary and Sleep Consultants PC CurrentSince Jan 1, 2017 Accepting new patients
Fornance Physician Services, Inc Current Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Aug 5, 2021 Accepting new patients
Fornance Physician Services, Inc. CurrentSince May 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Sep 30, 2017 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince May 10, 2022 Accepting new patients
Fornance Physician Services, Inc CurrentSince May 1, 2016 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince May 10, 2022 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Aug 5, 2021 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Sep 30, 2017 Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients

Locations

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

515 Pennsylvania Ave
Ft Washington, PA 19034
Phone (215) 641-0700

1240 S Broad St
Ste 220230
Lansdale, PA 19446
Phone (215) 774-8656

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

1331 E Wyoming Ave
Philadelphia, PA 19124
Phone (215) 537-7400

9880 Bustleton Ave
Ste 205
Philadelphia, PA 19115
Phone (215) 676-2222

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

450 Cresson Blvd
Phoenixville, PA 19460
Phone (215) 707-5067

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1598045122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W CHELTEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444414",
            "telephone_number": "215-848-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W CHELTEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444414",
            "telephone_number": "215-848-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "JACQUELINE",
        "middle_name": "B",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP011504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363LP2300X",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363LC1500X",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363LA2100X",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363LA2200X",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.