Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Rist Tahan, PA-C

Individual provider Physician Assistant · NPI 1134614860

Kristen Rist Tahan, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2018, 8 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
8
Licensed in
NJ, PA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3400 Spruce Street 3 Silverstein Bldg
Philadelphia, PA 19104-4206
Phone: (215) 662-3487
Fax: (215) 349-5534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 230 N Broad St, Philadelphia, PA 19102-1121 — (215) 762-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MX046264 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00474700 (NJ)

Record details

NPI number1134614860
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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