Active NPI
Kimberly Stear
- Family Nurse Practitioner
- Brookhaven, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP013732
- Practice address
- 4098 Edgmont Ave
Brookhaven, PA 19015-2211 - Phone
- (610) 876-8815
- NPI assigned
- Mar 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP013732 | PA | Primary |
Addresses
Primary practice location
4098 Edgmont Ave
Brookhaven, PA 19015-2211
Mailing address
PO Box 746722
Atlanta, GA 30374-6722
Phone (773) 352-1515
Other practice location 1
300 Four Falls Corporate Center, Suite 260
West Conshohocken, PA 19428-2039
Phone (844) 826-3446
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140523001162 | PA | Practitioner - Nurse Practitioner | 8325261118 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP013732 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh - PA Physicians Group, PC | Family | Current | Accepting new patients |
| Walgreen Eastern Co Inc | Past | Accepting new patients |
Locations
3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484
3621 Aramingo Ave
Ste 5C
Philadelphia, PA 19134
Phone (215) 444-7472
951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000
Interoperability endpoints
- kim.stear.p1@direct.tandigmhealth.nextgenshare.com
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.
-
- Pharmacy
- Brookhaven, PA
- NPI 1215942206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1962829267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746722",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746722",
"telephone_number": "773-352-1515",
"fax_number": "312-929-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4098 EDGMONT AVE",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190152211",
"telephone_number": "610-876-8815"
}
],
"practiceLocations": [
{
"address_1": "300 Four Falls Corporate Center, Suite 260",
"address_purpose": "LOCATION",
"city": "West Conshohocken",
"state": "PA",
"postal_code": "194282039",
"country_code": "US",
"telephone_number": "844-826-3446",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEAR",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-25",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP013732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.