KRISTINA MARIE MULHOLLAND
NPI 1720967821
Nurse Practitioner - Family in Glenside, PA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Kristina Mulholland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Georgetown, DE 19947
- Reassigned Medicare billing, Pennsylvania enrollment
- 2 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 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.
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.
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.
Which organization bills Medicare for Kristina Mulholland's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Mulholland reassigns Medicare benefits to Nutrihealth LLC (Georgetown, DE). 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 Kristina Mulholland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristina Mulholland accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Highmark Blue Cross Blue Shield Delaware list Kristina Mulholland 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.
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 13 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.
# Kristina Marie Mulholland · NPI 1720967821
Family physician in Glenside, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 2, 2025.
## Identity
- **NPI:** 1720967821 (Entity type: Individual)
- **Enumerated:** September 2, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP033205 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 S EASTON RD, Glenside, PA 19038-3295
- **Phone:** (610) 304-9706
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Nutrihealth LLC (NPI 1013547637, Georgetown, DE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720967821) · Data from the CMS NPPES public registry.