Active NPI
Kristi Ann Wert, CRNP
- Pediatric Nurse Practitioner
- Trevose, PA
National Provider Identifier
1801263165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP015277
- Practice address
- 4829 E. Street Rd
Trevose, PA 19053 - Phone
- (215) 364-5800
- Fax
- (215) 364-5899
- NPI assigned
- Aug 21, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP015277 | PA | Primary |
Addresses
Primary practice location
4829 E. Street Rd
Trevose, PA 19053
Mailing address
200 Bowman Dr
Voorhees, NJ 08043-9623
Phone (856) 751-7880
Other practice location 1
200 Bowman Dr
Voorhees, NJ 08043-9623
Phone (856) 751-7880
Other names 1
- Ms. Kristi Ann Komyanek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Margiotti & Kroll Pediatrics, P.C. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Trevose, PA
- NPI 1306800909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1801263165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BOWMAN DR",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080439623",
"telephone_number": "856-751-7880",
"fax_number": "856-751-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4829 E. STREET RD",
"city": "TREVOSE",
"state": "PA",
"postal_code": "19053",
"telephone_number": "215-364-5800",
"fax_number": "215-364-5899"
}
],
"practiceLocations": [
{
"address_1": "200 Bowman Dr",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080439623",
"country_code": "US",
"telephone_number": "856-751-7880",
"fax_number": "856-751-9133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WERT",
"first_name": "KRISTI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-21",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP015277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTI",
"last_name": "KOMYANEK",
"middle_name": "ANN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Trevose, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.