Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Diane Rieker

Individual provider Acute Care Nurse Practitioner · NPI 1407747058

Kimberly Diane Rieker is a Nurse Practitioner in Philadelphia, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 2025, 1 year ago. Practices with Jefferson University Physicians, a 1,554-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
1
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
PA
In the registry since
2025
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Practice location Address checks out

111 S 11th St
Philadelphia, PA 19107-4870
Phone: (215) 955-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP033467 (PA)

Record details

NPI number1407747058
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2025
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2025 (1 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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