Active NPI
Kimberly A Molinari, CRNP
- Adult Health Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP014184
- Practice address
- 3400 Civic Center Blvd.
Pcam Rowan Breast Center
Philadelphia, PA 19104 - Phone
- (215) 615-5858
- Fax
- (856) 769-7959
- NPI assigned
- Jun 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2NR14615100 | NJ | |
| Adult Health Nurse Practitioner | 363LA2200X | SP014184 | PA | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00386700 | NJ |
Addresses
Primary practice location
3400 Civic Center Blvd.
Pcam Rowan Breast Center
Philadelphia, PA 19104
Mailing address
3400 Civic Center Blvd.
Pcam Rowan Breast Center
Philadelphia, PA 19104
Phone (215) 615-5858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Penn-Medical Group
Practice addresses (Care Compare)
3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 662-3606
Hospital & facility affiliations
- Hospital of Univ of Pennsylvania
- Pennsylvania Hospital
- Penn Presbyterian Medical Center
- Chester County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.91 of 100
- Quality
- 73.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2NR14615100 | NJ | MD | Adult Health Nurse Practitioner |
| SP014184 | PA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn - Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054
Phone (856) 206-4500
3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300
3400 Civic Center Blvd
#2
Philadelphia, PA 19104
Phone (215) 615-0063
51 N 39th St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-9010
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104
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.
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1093725145
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Hematology & Oncology Physician
- Philadelphia, PA
- NPI 1679677975
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1255729364
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418774400000",
"number": "1750644241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD.",
"address_2": "PCAM ROWAN BREAST CENTER",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-615-5858",
"fax_number": "856-769-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD.",
"address_2": "PCAM ROWAN BREAST CENTER",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-615-5858",
"fax_number": "856-769-7959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINARI",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2014-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "2NR14615100",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP014184",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00386700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.