KRISTIN PETRA HUMMEL NP
NPI 1861964702
Nurse Practitioner - Acute Care in Downingtown, PA
About Kristin Petra Hummel Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN PETRA HUMMEL NP (NPI 1861964702) is an individual acute care provider in Downingtown, Pennsylvania, licensed in Pennsylvania (SP019641) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
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
Kristin Petra Hummel Np 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 Reassignments
10Medicare enrollment records show Kristin Hummel reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Parkesburg, PA 19365
- Reassigned Medicare billing, Pennsylvania enrollment
- 727 clinicians in this Medicare group
Berwyn, PA 19312
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
Christiana, PA 17509
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 clinicians in this Medicare group
Gilbertsville, PA 19525
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Ephrata, PA 17522
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,902 clinicians in this Medicare group
Sellersville, PA 18960
- Reassigned Medicare billing, Pennsylvania enrollment
- 25 clinicians in this Medicare group
Lancaster, PA 17602
- Reassigned Medicare billing, Pennsylvania enrollment
- 98 clinicians in this Medicare group
Norfolk, VA 23502
- Reassigned Medicare billing, Virginia enrollment
- 1,901 clinicians in this Medicare group
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 1,030 clinicians in this Medicare group
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 539 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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Hospital
Acute Care Hospitals · Atlanta, GAWellspan York Hospital
Acute Care Hospitals · York, PALancaster General Hospital
Acute Care Hospitals · Lancaster, PASentara Norfolk General Hospital
Acute Care Hospitals · Norfolk, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kristin Hummel's NPI number?
The NPI number for Kristin Hummel is 1861964702. It was assigned to this individual provider in the NPPES registry on December 17, 2018.
Where is Kristin Hummel located?
Kristin Hummel practices at 258 Buchanan Ct, Downingtown, PA 19335. The listed phone number is (740) 818-5849.
What is Kristin Hummel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kristin Hummel enrolled in Medicare?
Yes. Kristin Hummel 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 Kristin Hummel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Hummel reassigns Medicare benefits to 10 organizations: Lancaster General Medical Group (Parkesburg, PA), University Of Penn-Medical Group (Berwyn, PA), Wellspan Medical Group (Christiana, PA), Lehigh Valley Physician Group (Gilbertsville, PA), Pinnacle Health Medical Services (Ephrata, PA) and 5 more organizations, listed in the Medicare section above. 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 Kristin Hummel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristin Hummel accept?
Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Kristin Hummel 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 Kristin Hummel affiliated with any hospitals?
According to CMS data, Kristin Hummel is affiliated with Piedmont Hospital, Wellspan York Hospital, Lancaster General Hospital and Sentara Norfolk General Hospital.
When was this NPI record last updated?
The NPPES record for Kristin Hummel was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kristin Petra Hummel, NP · NPI 1861964702
Acute Care physician in Downingtown, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 17, 2018.
## Identity
- **NPI:** 1861964702 (Entity type: Individual)
- **Enumerated:** December 17, 2018
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** SP019641 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 258 BUCHANAN CT, Downingtown, PA 19335-3096
- **Phone:** (740) 818-5849
## 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:** 10 organizations under Medicare reassignment (form CMS-855R): Lancaster General Medical Group (NPI 1194167957, Parkesburg, PA); University Of Penn-Medical Group (NPI 1396133559, Berwyn, PA); Wellspan Medical Group (NPI 1427509942, Christiana, PA); Lehigh Valley Physician Group (NPI 1164269965, Gilbertsville, PA); Pinnacle Health Medical Services (NPI 1043978125, Ephrata, PA); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 28, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1861964702) · Data from the CMS NPPES public registry.