KIMBERLY DIANE RIEKER
NPI 1407747058
Nurse Practitioner - Acute Care in Philadelphia, PA

Q: What is Kimberly Rieker's NPI number?

The NPI number for Kimberly Rieker is 1407747058. It was assigned to this individual provider in the NPPES registry on July 11, 2025.

Q: What is Kimberly Rieker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Rieker was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 11, 2025PECOS EnrolledAccepts Medicare Assignment

111 S 11TH ST, PHILADELPHIA, PA 19107(215) 955-6000 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kimberly Diane Rieker NPPES

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

KIMBERLY DIANE RIEKER (NPI 1407747058) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP033467) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2025).

NPPES Registry Identity

NPI1407747058

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKIMBERLY DIANE RIEKER

Location Address111 S 11TH STPhiladelphia, PA 19107-4870

Mailing Address9232 Wesleyan RdPhiladelphia, PA 19114-3815

Phone(215) 955-6000

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2025

Enumeration DateJuly 11, 2025

Last NPPES UpdateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1407747058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in PA · SP033467

111 S 11TH ST, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Diane Rieker 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 ID6002305000

PECOS Enrollment IDI20251030000292

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.

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

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.

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 20

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

NICOLE LYNN RENALDI D.O.

Anesthesiology

111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6161

LING FAN

Nurse Practitioner (Acute Care)

111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-8304

WILLIAM JUSTICE MD

Student in an Organized Health Care Education/Training Program

111 S 11TH ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 995-6000

DR. DAVID P. FRIEDMAN M.D.

Radiology (Diagnostic Radiology)

111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-2900

DR. WALTER K. KRAFT M.D.

Internal Medicine

111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6540

DR. TAKI GALANIS M.D.

Internal Medicine

111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6540

DR. STEVEN M LUDWIN M.D.

Internal Medicine

111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6610

JENNIFER L SWOPE CRNA

Nurse Anesthetist, Certified Registered

111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6161

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 Kimberly Rieker's NPI number?

The NPI number for Kimberly Rieker is 1407747058. It was assigned to this individual provider in the NPPES registry on July 11, 2025.

Where is Kimberly Rieker located?

Kimberly Rieker practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-6000.

What is Kimberly Rieker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kimberly Rieker enrolled in Medicare?

Yes. Kimberly Rieker 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.

Is Kimberly Rieker affiliated with any hospitals?

According to CMS data, Kimberly Rieker is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Rieker was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.