Active NPI
Jennifer Kirstin Nymark, CRNP
- Adult Health Nurse Practitioner
- Plymouth Meeting, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP012874
- Practice address
- 2901 Jolly Rd
Plymouth Meeting, PA 19462-2324 - Phone
- (610) 272-8221
- Fax
- (610) 272-5655
- NPI assigned
- Jul 11, 2013
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP012874 | PA | Primary |
Addresses
Primary practice location
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Mailing address
630 Hamilton St
Collegeville, PA 19426-3959
Other practice location 1
1055 Westlakes Dr Ste 3152
Berwyn, PA 19312-2410
Phone (215) 346-6050
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 W Godfrey Ave
Suite 3100
Philadelphia, PA 19141-3323
Phone (215) 444-7469
3621 Aramingo Ave
Philadelphia, PA 19134-4607
Phone (312) 600-8484
Hospital & facility affiliations
- New Life Home Health Care Agency Inc
- Jefferson Einstein Philadelphia Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh - PA Physicians Group, PC | Current | Accepting new patients | |
| Citylife-PA, PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484
220 W Chelten Ave
Philadelphia, PA 19144
Phone (215) 310-7022
1200 W Godfrey Ave
Ste 3100
Philadelphia, PA 19141
Phone (215) 444-7469
Interoperability endpoints
- jennifer.nymark2@oakstreethealth.gwaydirect.com
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Philadelphia, PA
- NPI 1811405533
-
- General Practice Physician
- Philadelphia, PA
- NPI 1285010801
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
-
- Home Health Agency
- Huntingdon Valley, PA
- NPI 1508861097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1811338486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 HAMILTON ST",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194263959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 JOLLY RD",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622324",
"telephone_number": "610-272-8221",
"fax_number": "610-272-5655"
}
],
"practiceLocations": [
{
"address_1": "1055 Westlakes Dr Ste 3152",
"address_purpose": "LOCATION",
"city": "Berwyn",
"state": "PA",
"postal_code": "193122410",
"country_code": "US",
"telephone_number": "215-346-6050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NYMARK",
"first_name": "JENNIFER",
"middle_name": "KIRSTIN",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP012874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.