Individual provider Active NPI

Kristina Grassi, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1649678012
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP014586 Issued in PA
Practice address
1020 Sansom St
Philadelphia, PA 19107-5002
Phone
(215) 955-6840
NPI assigned
Dec 16, 2014
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP014586 PA Primary

Addresses

Primary practice location

1020 Sansom St
Philadelphia, PA 19107-5002

Mailing address

1020 Sansom St
Philadelphia, PA 19107-5002
Phone (215) 955-6840

Other practice location 1

1107 Bethlehem Pike
Sellersville, PA 18960-1454
Phone (215) 257-3011

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
I20150128001217 PA Practitioner - Nurse Practitioner 7517281249 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

1020 Sansom St
Suite 1652
Philadelphia, PA 19107-5002
Phone (215) 955-6683

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP014586PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Nov 25, 2019 Accepting new patients
Tower Health Urgent Care, LLC CurrentSince Jan 1, 2021 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Jul 1, 2018 Accepting new patients
Jefferson University Physicians CurrentSince Oct 12, 2015 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Nov 25, 2019 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Jul 1, 2018 Accepting new patients
Buxmont Medical Associates, PC CurrentSince Dec 17, 2014 Accepting new patients
Jefferson University Physicians Past Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

1139 Ben Franklin Hwy W
Ste 114
Douglassville, PA 19518
Phone (610) 385-4444

1020 Sansom St
Philadelphia, PA 19107
Phone (215) 955-6844

1020 Sansom St
#10
Philadelphia, PA 19107

1020 Sansom St
Ste 1652
Philadelphia, PA 19107
Phone (215) 955-5379

1020 Sansom St
Ste 239
Philadelphia, PA 19107
Phone (215) 955-6844

1020 Sansom St
Ste 39
Philadelphia, PA 19107

2301 S Broad St
Fl 1
Philadelphia, PA 19148
Phone (215) 952-9136

700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

33 W Ridge Pike
Ste 627
Royersford, PA 19468
Phone (610) 226-6200

1107 Bethlehem Pike
Sellersville, PA 18960
Phone (215) 257-3011

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

847 Easton Rd
Ste 2500
Warrington, PA 18976
Phone (215) 918-5555

520 Chestnut St
Bldg S3
West Reading, PA 19611
Phone (610) 561-6320

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1649678012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SANSOM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075002",
            "telephone_number": "215-955-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SANSOM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075002",
            "telephone_number": "215-955-6840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 Bethlehem Pike",
            "address_purpose": "LOCATION",
            "city": "Sellersville",
            "state": "PA",
            "postal_code": "189601454",
            "country_code": "US",
            "telephone_number": "215-257-3011",
            "fax_number": "215-257-3437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRASSI",
        "first_name": "KRISTINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.