JAMES MICHAEL KING CRNP
NPI 1285456293
Nurse Practitioner - Family in Royersford, PA

Active since October 30, 2024PECOS EnrolledAccepts Medicare Assignment
307 S LEWIS RD, ROYERSFORD, PA 19468(610) 792-0300 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 20, 2025, Nov 4, 2024 (2 updates tracked since 2024).

About James Michael King Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES MICHAEL KING CRNP (NPI 1285456293) is an individual family provider in Royersford, Pennsylvania, licensed in Pennsylvania (SP031144) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, is affiliated with Pottstown Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1285456293
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAMES MICHAEL KINGCredential: CRNP
Location Address307 S LEWIS RDRoyersford, PA 19468-1828
Mailing Address351 W Schuylkill Rd Ste 13Pottstown, PA 19465-7438 · (610) 327-4200
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 30, 2024
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1285456293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP031144
307 S LEWIS RD, Royersford, PA 19468

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Michael King Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850803248
PECOS Enrollment IDI20250623001136
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James King reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
307 SOUTH LEWIS ROAD
Royersford, PA 19468
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 42 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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19468 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
307 S LEWIS RD
ROYERSFORD, PA 19468
Nurse Practitioner (Family)
307 S LEWIS RD
ROYERSFORD, PA 19468
Family Medicine
307 S LEWIS RD
ROYERSFORD, PA 19468
Family Medicine
307 S LEWIS RD
ROYERSFORD, PA 19468
Nurse Practitioner
307 S LEWIS RD
ROYERSFORD, PA 19468
Nurse Practitioner (Family)
307 S LEWIS RD
ROYERSFORD, PA 19468
Family Medicine
307 S LEWIS RD
ROYERSFORD, PA 19468

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 James King's NPI number?

The NPI number for James King is 1285456293. It was assigned to this individual provider in the NPPES registry on October 30, 2024.

Where is James King located?

James King practices at 307 S Lewis Rd, Royersford, PA 19468. The listed phone number is (610) 792-0300.

What is James King's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is James King enrolled in Medicare?

Yes. James King is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for James King's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James King reassigns Medicare benefits to Pottstown Medical Specialists Inc (Royersford, 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 James King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James King accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James King as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James King affiliated with any hospitals?

According to CMS data, James King is affiliated with Pottstown Hospital and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for James King was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.