Individual provider Active NPI

Jennifer Kirstin Nymark, CRNP

  • Adult Health Nurse Practitioner
  • Plymouth Meeting, PA
National Provider Identifier
1811338486
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP012874 Issued in PA
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

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131007000630 PA Practitioner - Nurse Practitioner 4284868290 Reassigns benefits to 2 organizations

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
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

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 Home health agency, Huntingdon Valley, PA, CCN 397795
  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osh - PA Physicians Group, PC CurrentSince Sep 26, 2022 Accepting new patients
Citylife-PA, PC CurrentSince Jan 12, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.