KAYCEE RUNDLE CRNP
NPI 1053072686
Nurse Practitioner - Acute Care in Philadelphia, PA
About Kaycee Rundle Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAYCEE RUNDLE CRNP (NPI 1053072686) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP024663) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kaycee Rundle Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kaycee Rundle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1871981985 (Pennsylvania)
- 3,488 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kaycee Rundle's NPI number?
The NPI number for Kaycee Rundle is 1053072686. It was assigned to this individual provider in the NPPES registry on January 5, 2022.
Where is Kaycee Rundle located?
Kaycee Rundle practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-4400.
What is Kaycee Rundle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kaycee Rundle enrolled in Medicare?
Yes. Kaycee Rundle is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kaycee Rundle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaycee Rundle reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaycee Rundle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kaycee Rundle was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kaycee Rundle, CRNP · NPI 1053072686
Acute Care physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 5, 2022.
## Identity
- **NPI:** 1053072686 (Entity type: Individual)
- **Enumerated:** January 5, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** SP024663 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (215) 662-4400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Penn-Medical Group (NPI 1073902169, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1053072686) · Data from the CMS NPPES public registry.