Individual provider Active NPI

Kiersten Griffin, CNP

  • Family Nurse Practitioner
  • Mount Holly, NJ
National Provider Identifier
1841792017
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01262500 Issued in NJ
Practice address
508 High St
Mount Holly, NJ 08060-1052
Phone
(866) 389-2727
NPI assigned
Mar 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01262500 NJ Primary
Family Nurse Practitioner 363LF0000X 95012631 CA

Addresses

Primary practice location

508 High St
Mount Holly, NJ 08060-1052

Mailing address

508 High St
Mount Holly, NJ 08060-1052
Phone (609) 261-8963

Other practice location 1

6559 Wilson Mills Road
Suite #106
Cleveland, OH 44143
Phone (440) 449-1540

Other practice location 2

6780 Mayfield Rd
Mayfield Heights, OH 44124
Phone (440) 312-4500

Other practice location 3

26891 Aliso Creek Rd
Aliso Viejo, CA 92656
Phone (949) 360-4081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20220225001328 NJ Practitioner - Nurse Practitioner 3870855091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians

Practice addresses (Care Compare)

508 High St
Mount Holly, NJ 08060-1052
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
82.41 of 100Reported as group
Quality
77.71
Improvement activities
40
Cost
82.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01262500NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Feb 3, 2022 Accepting new patients
Minuteclinic Primary Care New Jersey LLC Family CurrentSince Jul 16, 2025 Accepting new patients

Locations

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

360 Route 73 S
Marlton, NJ 08053
Phone (856) 596-7010

508 High St
Mount Holly, NJ 08060
Phone (609) 261-8383

307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1841792017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HIGH ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601052",
            "telephone_number": "609-261-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HIGH ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601052",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6559 Wilson Mills Road",
            "address_2": "Suite #106",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44143",
            "country_code": "US",
            "telephone_number": "440-449-1540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6780 Mayfield Rd",
            "address_purpose": "LOCATION",
            "city": "Mayfield Heights",
            "state": "OH",
            "postal_code": "44124",
            "country_code": "US",
            "telephone_number": "440-312-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26891 Aliso Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Aliso Viejo",
            "state": "CA",
            "postal_code": "92656",
            "country_code": "US",
            "telephone_number": "949-360-4081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "KIERSTEN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2022-01-28",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01262500",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.