KRISTINA MARIE MULHOLLAND
NPI 1720967821
Nurse Practitioner - Family in Glenside, PA

Active since September 02, 2025PECOS EnrolledAccepts Medicare Assignment
450 S EASTON RD, GLENSIDE, PA 19038(610) 304-9706 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristina Marie Mulholland NPPES

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

KRISTINA MARIE MULHOLLAND (NPI 1720967821) is an individual family provider in Glenside, Pennsylvania, licensed in Pennsylvania (SP033205) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1720967821
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTINA MARIE MULHOLLAND
Location Address450 S EASTON RDGlenside, PA 19038-3295
Mailing Address551 Evans RdSpringfield, PA 19064-3522 · (610) 304-9706
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
NPI 1720967821 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 · SP033205
450 S EASTON RD, Glenside, PA 19038

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

Kristina Marie Mulholland 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 ID1658858980
PECOS Enrollment IDI20260116002708
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19038 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.

Physician Assistant
450 S EASTON RD
GLENSIDE, PA 19038
Physician Assistant
450 S EASTON RD
GLENSIDE, PA 19038
Physician Assistant
450 S EASTON RD
GLENSIDE, PA 19038
Physician Assistant
450 S EASTON RD
GLENSIDE, PA 19038
Specialist/Technologist (Athletic Trainer)
450 S EASTON RD
GLENSIDE, PA 19038
Physician Assistant
450 S EASTON RD
GLENSIDE, PA 19038
Physician Assistant
450 S EASTON RD
GLENSIDE, PA 19038
Physician Assistant
450 S EASTON RD
GLENSIDE, PA 19038

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 Kristina Mulholland's NPI number?

The NPI number for Kristina Mulholland is 1720967821. It was assigned to this individual provider in the NPPES registry on September 2, 2025.

Where is Kristina Mulholland located?

Kristina Mulholland practices at 450 S Easton Rd, Glenside, PA 19038. The listed phone number is (610) 304-9706.

What is Kristina Mulholland's specialty?

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

Is Kristina Mulholland enrolled in Medicare?

Yes. Kristina Mulholland 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.

When was this NPI record last updated?

The NPPES record for Kristina Mulholland was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.