MS. KATHLEEN SCHROEDER THISTLE CRNP
NPI 1164779807
Nurse Practitioner - Acute Care in Philadelphia, PA
About Ms. Kathleen Schroeder Thistle Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KATHLEEN SCHROEDER THISTLE CRNP (NPI 1164779807) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP-003978U) and active in the NPI registry since August 2012. 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)
Ms. Kathleen Schroeder Thistle Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Thistle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,739 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 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
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 Kathleen Thistle's NPI number?
The NPI number for Kathleen Thistle is 1164779807. It was assigned to this individual provider in the NPPES registry on August 13, 2012.
Where is Kathleen Thistle located?
Kathleen Thistle practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-6000.
What is Kathleen Thistle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kathleen Thistle enrolled in Medicare?
Yes. Kathleen Thistle is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathleen Thistle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Thistle reassigns Medicare benefits to Jefferson University Physicians (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 Kathleen Thistle'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 Kathleen Thistle was last updated on August 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Ms. Kathleen Schroeder Thistle, CRNP · NPI 1164779807
Acute Care physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 13, 2012.
## Identity
- **NPI:** 1164779807 (Entity type: Individual)
- **Enumerated:** August 13, 2012
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** SP-003978U (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 S 11TH ST, Philadelphia, PA 19107-4824
- **Phone:** (215) 955-6000
## 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:** Jefferson University Physicians (NPI 1326093675, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1164779807) · Data from the CMS NPPES public registry.