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

Kristopher Erick Medina

Individual provider Family Nurse Practitioner · NPI 1124416185

Kristopher Erick Medina is a Nurse Practitioner in Paoli, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2014
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Practice location Address checks out

21 Industrial Blvd Ste 205
Paoli, PA 19301-1610
Phone: (610) 647-8000
Fax: (610) 647-6394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP014662 (PA)

Record details

NPI number1124416185
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 29, 2014
Last updated in NPPESOctober 13, 2015
Mailing address21 Industrial Blvd, Suite 205, Paoli, PA 19301-1610

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Paoli