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

Kimberly Marie Martin, CRNP

Individual provider Nurse Practitioner · NPI 1629967849

Kimberly Marie Martin, CRNP is a Nurse Practitioner in Mechanicsburg, Pennsylvania. Qualified in 2025, 1 year ago. Practices with Creek Medical PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2025
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

6 Bella Vista Dr
Mechanicsburg, PA 17050-1879
Phone: (347) 267-9921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP033171 (PA)

Record details

NPI number1629967849
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJuly 1, 2025
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Creek Medical Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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