Individual provider Active NPI

Sophia Fokas-Kligos, CRNP

  • Family Nurse Practitioner
  • Hershey, PA
National Provider Identifier
1811227275
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022071 Issued in PA
Practice address
500 University Dr
Hershey, PA 17033-2360
Phone
(717) 531-8024
NPI assigned
Jan 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP010681 PA
Family Nurse Practitioner 363LF0000X SP022071 PA Primary

Addresses

Primary practice location

500 University Dr
Hershey, PA 17033-2360

Mailing address

3930 W Chester Pike Ste 560W
Newtown Square, PA 19073-3209
Phone (610) 353-2061

Other practice location 1

3930 W Chester Pike Ste 560W
Newtown Square, PA 19073-3209
Phone (610) 353-2061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, NJ, DC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20100504000319 PA Practitioner - Nurse Practitioner 4587709936 Reassigns benefits to 5 organizations
I20241021004037 VA Practitioner - Nurse Practitioner 4587709936 Reassigns benefits to 1 organization
I20250421000004 NJ Practitioner - Nurse Practitioner 4587709936 Reassigns benefits to 1 organization
I20250513001600 DC Practitioner - Nurse Practitioner 4587709936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahpaffs,LLCGroup PAC ID 5799070306, 9 clinicians
On Demand Urgent Care Group PCGroup PAC ID 5991029712, 95 clinicians

Practice addresses (Care Compare)

1010 W Lehigh Ave
Philadelphia, PA 19133-1640
Phone (267) 273-7000

1305 W Chester Pike
Havertown, PA 19083-2929
Phone (610) 482-4949

3356 Aramingo Ave
Philadelphia, PA 19134-4506
Phone (215) 999-3356

4190 City Ave
Suite 101
Philadelphia, PA 19131-1627
Phone (215) 857-5300

4808 Edgmont Ave
Brookhaven, PA 19015-1400
Phone (610) 876-3072

5828 Market St
Philadelphia, PA 19139-3152
Phone (267) 892-5828

599 E Lancaster Ave
St Davids, PA 19087-5109
Phone (484) 254-4984

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP010681PAMDAcute Care Nurse Practitioner
SP022071PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Mar 6, 2025 Accepting new patients
MGMC, LLC CurrentSince Mar 6, 2025 Accepting new patients
Signify Health, LLC CurrentSince Jul 13, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 13, 2023 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
Paoli Hematology-Oncology Associates PC CurrentSince Jan 1, 2017 Accepting new patients
DRX Paramus, LLC CurrentSince Feb 14, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

3800 Reservoir Rd NW
Bldg Phc
Washington, DC 20007
Phone (202) 339-0001

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

475 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (856) 553-6611

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

2 Industrial Blvd
Ste 110
Paoli, PA 19301
Phone (610) 725-0650

3400 Civic Center Blvd
#2
Philadelphia, PA 19104
Phone (215) 615-0063

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Interoperability endpoints

  • Direct secure messaging: sophia.fokaskligos@paoli.ikm.direct-ci.com

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1811227275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 W CHESTER PIKE STE 560W",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733209",
            "telephone_number": "610-353-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-8024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3930 W Chester Pike Ste 560W",
            "address_purpose": "LOCATION",
            "city": "Newtown Square",
            "state": "PA",
            "postal_code": "190733209",
            "country_code": "US",
            "telephone_number": "610-353-2061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOKAS-KLIGOS",
        "first_name": "SOPHIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP010681",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.