Individual provider Active NPI

Khrystyna Kobylynets, NP

  • Nurse Practitioner
  • Berwyn, PA
National Provider Identifier
1861225906
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP029641 Issued in PA
Practice address
1055 Westlakes Dr Ste 3152
Berwyn, PA 19312-2410
Phone
(215) 346-6050
Fax
(215) 220-3562
NPI assigned
Aug 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP029641 PA Primary

Addresses

Primary practice location

1055 Westlakes Dr Ste 3152
Berwyn, PA 19312-2410

Mailing address

1541 Tarleton PL
Warminster, PA 18974-3811
Phone (267) 902-0272

Other practice location 1

2500 York Rd
Jamison, PA 18929-1068
Phone (267) 902-0272

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
I20250502001747 PA Practitioner - Nurse Practitioner 8426575416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

King of Prussia, PA 19406
Phone (215) 346-6050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Apr 1, 2025 Accepting new patients
Vpa PC CurrentSince Apr 1, 2025 Accepting new patients

Locations

1055 Westlakes Dr
Ste 3152
Berwyn, PA 19312
Phone (215) 246-6050

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.

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1861225906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 TARLETON PL",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189743811",
            "telephone_number": "267-902-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 WESTLAKES DR STE 3152",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193122410",
            "telephone_number": "215-346-6050",
            "fax_number": "215-220-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 York Rd",
            "address_purpose": "LOCATION",
            "city": "Jamison",
            "state": "PA",
            "postal_code": "189291068",
            "country_code": "US",
            "telephone_number": "267-902-0272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOBYLYNETS",
        "first_name": "KHRYSTYNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP029641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

Verify at the official NPI Registry.