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

Kristin Kamp Burkholder, CRNP

Individual provider Family Nurse Practitioner · NPI 1508641655

Kristin Kamp Burkholder, CRNP is a Nurse Practitioner in Lebanon, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Good Samaritan Physician Services, a 106-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

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Practice location Address checks out

844 Tuck St
Lebanon, PA 17042-7477
Phone: (717) 274-8875
Fax: (717) 639-3955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 460 N Reading Rd, Ephrata, PA 17522-9606 — (717) 721-4840

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP028357 (PA)

Record details

NPI number1508641655
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 28, 2023
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Good Samaritan Physician Services — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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