Individual provider Active NPI

Kirsten Dickins, APN

  • Nurse Practitioner
  • Bala Cynwyd, PA
National Provider Identifier
1881142008
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP032251 Issued in PA
Practice address
150 Monument Rd Ste 600
Bala Cynwyd, PA 19004-1701
Phone
(610) 617-2415
Fax
(215) 893-5560
NPI assigned
Sep 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2332917 MA
Nurse Practitioner 363L00000X 209.014679 IL
Nurse Practitioner 363L00000X SP032251 PA Primary

Addresses

Primary practice location

150 Monument Rd Ste 600
Bala Cynwyd, PA 19004-1701

Mailing address

150 Monument Rd Ste 600
Bala Cynwyd, PA 19004-1701
Phone (610) 617-2415

Other practice location 1

125 Nashua St Ste 7632
Boston, MA 02114-1100
Phone (617) 643-6671

Other practice location 2

1725 W Harrison St
Chicago, IL 60612-3841
Phone (888) 352-7874

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
I20250512001764 PA Practitioner - Nurse Practitioner 2567741085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 Monument Rd
Suite 300
Bala Cynwyd, PA 19004-1725
Phone (610) 747-3400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.014679ILMDNurse Practitioner
SP032251PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince May 26, 2025 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince May 26, 2025 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients

Locations

150 Monument Rd
Ste 600
Bala Cynwyd, PA 19004
Phone (610) 617-2400

150 Monument Rd
Ste 300
Bala Cynwyd, PA 19004
Phone (610) 617-2400

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

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": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1881142008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD STE 600",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041701",
            "telephone_number": "610-617-2415",
            "fax_number": "215-893-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD STE 600",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041701",
            "telephone_number": "610-617-2415",
            "fax_number": "215-893-5560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Nashua St Ste 7632",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021141100",
            "country_code": "US",
            "telephone_number": "617-643-6671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123841",
            "country_code": "US",
            "telephone_number": "888-352-7874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKINS",
        "first_name": "KIRSTEN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2332917",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.014679",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP032251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.