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MISS KATHRYN SUSAN MACEYKO CRNP
NPI 1760856736
Nurse Practitioner - Family in Bala Cynwyd, PA

Active since November 13, 2015PECOS EnrolledAccepts Medicare Assignment
150 MONUMENT RD STE 500, BALA CYNWYD, PA 19004(855) 478-8208 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 29, 2026, Aug 12, 2022, Aug 9, 2021 and 1 more (4 updates tracked since 2015).

About Miss Kathryn Susan Maceyko Crnp NPPES

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

MISS KATHRYN SUSAN MACEYKO CRNP (NPI 1760856736) is an individual family provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (SP015487) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2014).

NPPES Registry Identity

NPI1760856736
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS KATHRYN SUSAN MACEYKOCredential: CRNP
Location Address150 MONUMENT RD STE 500Bala Cynwyd, PA 19004-1701
Mailing Address150 Monument Rd Ste 500Bala Cynwyd, PA 19004-1701 · (855) 478-8208
Phone(855) 478-8208
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2014
Enumeration DateNovember 13, 2015
Last NPPES UpdateJanuary 29, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1760856736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP015487
Also ListedRegistered NurseTaxonomy 163W00000X · License RN662358 (PA)
150 MONUMENT RD STE 500, Bala Cynwyd, PA 19004
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1101 Greenwood Ave Ste 140Jenkintown, PA 19046-2649 · Phone (973) 241-1356
Location 2325 Chestnut St Ste 800Philadelphia, PA 19106-2608 · Phone (973) 241-1356

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

Miss Kathryn Susan Maceyko 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 ID1658728993
PECOS Enrollment IDI20231108002908
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 Reassignments

5

Medicare enrollment records show Kathryn Maceyko reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Patina Medical Group, PC
Same address
Primary Care
150 MONUMENT RD
Bala Cynwyd, PA 19004
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 8 clinicians in this Medicare group
NPI 1801568910 (949) 246-3344
Ennoble Hc Nj PC
87 mi
Geriatric Medicine
2 UNIVERSITY PLZ
Hackensack, NJ 07601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 52 clinicians in this Medicare group
NPI 1306500764 (973) 435-9463
Ennoble Hc Nj II PC
88 mi
Geriatric Medicine
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 43 clinicians in this Medicare group
NPI 1871475806 (551) 295-8223
Ennoble Hc Nj III PC
88 mi
Geriatric Medicine
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 42 clinicians in this Medicare group
NPI 1043192099 (551) 295-8223
Patina Medical Group, PC
452 mi
Primary Care
101 N TRYON ST STE 600
Charlotte, NC 28246
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • 7 clinicians in this Medicare group
NPI 1467147710 (855) 478-8208

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19004 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

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

ALEXANDRA MARIE RISTOW M.D.
Internal Medicine
150 MONUMENT RD STE 500
BALA CYNWYD, PA 19004
Montgomery County (855) 478-8208

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 Kathryn Maceyko's NPI number?

The NPI number for Kathryn Maceyko is 1760856736. It was assigned to this individual provider in the NPPES registry on November 13, 2015.

Where is Kathryn Maceyko located?

Kathryn Maceyko practices at 150 Monument Rd Ste 500, Bala Cynwyd, PA 19004. The listed phone number is (855) 478-8208.

What is Kathryn Maceyko's specialty?

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

Is Kathryn Maceyko enrolled in Medicare?

Yes. Kathryn Maceyko 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 organizations bill Medicare for Kathryn Maceyko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Maceyko reassigns Medicare benefits to 5 organizations: Patina Medical Group, PC (Bala Cynwyd, PA), Ennoble Hc Nj PC (Hackensack, NJ), Ennoble Hc Nj II PC (Hackensack, NJ), Ennoble Hc Nj III PC (Hackensack, NJ) and Patina Medical Group, PC (Charlotte, NC). Each 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 Kathryn Maceyko'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 Kathryn Maceyko was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.