MRS. KRISTINA MARIE MCLEAN
NPI 1811375736
Nurse Practitioner - Family in Philadelphia, PA

Active since May 12, 2015PECOS EnrolledAccepts Medicare Assignment
1020 SANSOM ST, SUITE 239, PHILADELPHIA, PA 19107(215) 955-6844 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Kristina Marie Mclean NPPES

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

MRS. KRISTINA MARIE MCLEAN (NPI 1811375736) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP014589) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811375736
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KRISTINA MARIE MCLEAN
Location Address1020 SANSOM ST, SUITE 239Philadelphia, PA 19107-5002
Mailing Address1020 Sansom St, Suite 239Philadelphia, PA 19107-5002 · (215) 955-6844
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 12, 2015
Last NPPES UpdateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1811375736 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 · SP014589
Also ListedNurse PractitionerTaxonomy 363L00000X · License 26NJ15159300 (NJ)
1020 SANSOM ST, Philadelphia, PA 19107

Secondary Practice Locations 2

Location 1175 Route 130 SCinnaminson, NJ 08077-3376 · Phone (856) 536-1640
Location 21 Cooper PlzCamden, NJ 08103-1461 · Phone (856) 342-2627

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

Mrs. Kristina Marie Mclean 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 ID5496068314
PECOS Enrollment IDI20150722003642, I20250512001186
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

4

Medicare enrollment records show Kristina Mclean reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
Urgent Care
830 WALNUT ST
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 241 clinicians in this Medicare group
Emergency Medicine
1 COOPER PLZ, EMERGENCY DEPARTMENT
Camden, NJ 08103
  • Reassigned Medicare billing, New Jersey enrollment
  • 137 clinicians in this Medicare group
Emergency Medical Services
2001 ROUTE 70 E
Cherry Hill, NJ 08003
  • Reassigned Medicare billing, New Jersey enrollment
  • 128 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

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.

Emergency Medicine
1020 SANSOM ST, SUITE 239
PHILADELPHIA, PA 19107
Emergency Medicine
1020 SANSOM ST, SUITE 239
PHILADELPHIA, PA 19107
Emergency Medicine
1020 SANSOM ST, SUITE 239
PHILADELPHIA, PA 19107
Nurse Practitioner (Family)
1020 SANSOM ST, TJU, 239 THOMPSON BLDG
PHILADELPHIA, PA 19107
Emergency Medicine
1020 SANSOM ST, SUITE 239
PHILADELPHIA, PA 19107
Nurse Practitioner (Acute Care)
1020 SANSOM ST
PHILADELPHIA, PA 19107
Emergency Medicine
1020 SANSOM ST
PHILADELPHIA, PA 19107
Emergency Medicine
1020 SANSOM ST, SUITE 239
PHILADELPHIA, PA 19107

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 Mclean's NPI number?

The NPI number for Kristina Mclean is 1811375736. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Where is Kristina Mclean located?

Kristina Mclean practices at 1020 Sansom St Suite 239, Philadelphia, PA 19107. The listed phone number is (215) 955-6844.

What is Kristina Mclean's specialty?

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

Is Kristina Mclean enrolled in Medicare?

Yes. Kristina Mclean 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 Kristina Mclean's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Mclean reassigns Medicare benefits to 4 organizations: Jefferson University Physicians (Philadelphia, PA), Jefferson Acute Care Physicians, PC (Philadelphia, PA), Cooper Univeristy Emergency Physicians, PC (Camden, NJ) and Cooper Urgent Care, PC (Cherry Hill, NJ). 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 Kristina Mclean's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Mclean accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Kristina Mclean 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 Kristina Mclean affiliated with any hospitals?

According to CMS data, Kristina Mclean is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Kristina Mclean was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.