Individual provider Active NPI

Krista Butler

  • Gerontology Nurse Practitioner
  • Moorestown, NJ
National Provider Identifier
1659071876
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01452300 Issued in NJ
Practice address
401 Young Ave Ste 275B
Moorestown, NJ 08057-3130
Phone
(856) 291-8855
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 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 26NJ01452300 NJ Primary

Addresses

Primary practice location

401 Young Ave Ste 275B
Moorestown, NJ 08057-3130

Mailing address

131 Greenwood Rd
Cherry Hill, NJ 08034-3804
Phone (856) 220-6440

Other practice location 1

1105 Laurel Oak Rd Ste 166
Voorhees, NJ 08043-4312
Phone (856) 309-5869

Other names 1

  • Krista Damirgian Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbutler330595@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230502000407 NJ Practitioner - Nurse Practitioner 8820453558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1105 Laurel Oak Rd
Suite 166
Voorhees, NJ 08043-4312
Phone (856) 309-5869

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01452300NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince May 1, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince May 1, 2023 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

401 Young Ave
Ste 275B
Moorestown, NJ 08057
Phone (856) 291-8670

1105 Laurel Oak Rd
Ste 166
Voorhees, NJ 08043
Phone (856) 309-5869

Interoperability endpoints

  • Direct secure messaging: kdamirgian122547@directvirtua.org

Organizations & group practices 2

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": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1659071876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 GREENWOOD RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343804",
            "telephone_number": "856-220-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUNG AVE STE 275B",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573130",
            "telephone_number": "856-291-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Laurel Oak Rd Ste 166",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434312",
            "country_code": "US",
            "telephone_number": "856-309-5869",
            "fax_number": "856-325-5793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KRISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01452300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbutler330595@directvirtua.org",
            "affiliation": "N",
            "address_1": "1105 Laurel Oak Rd Ste 166",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080434312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "DAMIRGIAN",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.