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

Timothy Kilkelly, CRNP, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1700591732

Timothy Kilkelly, CRNP, PMHNP-BC is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Moonshot Psychiatric Nurse Practitioner PC, a 76-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
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.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1700 Market St Ste 1005
Philadelphia, PA 19103-3920
Phone: (855) 444-7258
Fax: (877) 261-8495
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP028993 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN721134 (PA)

Record details

NPI number1700591732
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP , PMHNP-BC
Sole proprietorNo
NPI enumeratedJanuary 13, 2023
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

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 Moonshot Psychiatric Nurse Practitioner Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Philadelphia