Individual provider Active NPI

Keri Lynn Johnson, CRNP

  • Women's Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1881634459
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
LH-0000229 Issued in DE
Practice address
8815 Germantown Ave
Suite 40
Philadelphia, PA 19118-2722
Phone
(215) 248-3100
Fax
(215) 248-3971
NPI assigned
Jun 8, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X LH-0000229 DE Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X SP006775V PA
Registered Nurse 163W00000X L1-0026503 DE

Addresses

Primary practice location

8815 Germantown Ave
Suite 40
Philadelphia, PA 19118-2722

Mailing address

8815 Germantown Ave
Suite 40
Philadelphia, PA 19118-2722
Phone (215) 248-3100

Other identifiers 1

IdentifierTypeStateIssuer
101526057MedicaidPA

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
I20050607000001 PA Practitioner - Nurse Practitioner 0446293989 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Medical GroupGroup PAC ID 3779688650, 190 clinicians

Practice addresses (Care Compare)

145 N 6TH St
FL 2
Reading, PA 19601-3096
Phone (610) 208-4558

145 N 6TH St FL
2 SJMG Family and Women's Care
Reading, PA 19601-3096
Phone (610) 208-4554

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0026503DEMDRegistered Nurse
LH-0000229DEMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Medical Group CurrentSince Dec 3, 2020 Accepting new patients
St Joseph Regional Health Network CurrentSince Jun 1, 2024 Accepting new patients
St. Joseph Regional Health Network CurrentSince Jun 1, 2024 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Mar 6, 2011 Accepting new patients
Berks Pathology Associates, Inc Current Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Mar 6, 2011 Accepting new patients
St. Joseph Medical Group CurrentSince Dec 3, 2020 Accepting new patients
Planned Parenthood of Delaware PastSince Jul 4, 2018 Accepting new patients

Locations

1777 Sentry Pkwy W
Ste 110
Blue Bell, PA 19422
Phone (215) 619-7710

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

8815 Germantown Ave
Ste 40
Philadelphia, PA 19118
Phone (215) 242-4442

145 N 6th St
Fl 2
Reading, PA 19601
Phone (610) 208-4558

2494 Bernville Rd
Ste 100
Reading, PA 19605
Phone (610) 378-2899

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881634459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 GERMANTOWN AVE",
            "address_2": "SUITE 40",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182722",
            "telephone_number": "215-248-3100",
            "fax_number": "215-248-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 GERMANTOWN AVE",
            "address_2": "SUITE 40",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182722",
            "telephone_number": "215-248-3100",
            "fax_number": "215-248-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KERI",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "DE",
            "license": "LH-0000229",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "SP006775V",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0026503",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101526057",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.