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

Miss. Kathryn Susan Maceyko, CRNP

Individual provider Registered Nurse · NPI 1760856736

Miss. Kathryn Susan Maceyko, CRNP is a Nurse Practitioner in Bala Cynwyd, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 2014, 12 years ago. Practices with Patina Medical Group, PC, a 7-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
12
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
PA
In the registry since
2015
Specialties on file
2
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

150 Monument Rd Ste 500
Bala Cynwyd, PA 19004-1701
Phone: (855) 478-8208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 101 Greenwood Ave Ste 140, Jenkintown, PA 19046-2649 — (973) 241-1356
  • 325 Chestnut St Ste 800, Philadelphia, PA 19106-2608 — (973) 241-1356

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP015487 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN662358 (PA)

Record details

NPI number1760856736
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 13, 2015
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026

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 2014 (12 years in practice)
Group practice Patina Medical Group, Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Bala Cynwyd