KENNETH JR. REICHENBACH (CRNP) – Nurse Practitioner, NPI 1700021730

KENNETH JR. REICHENBACH (CRNP) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. RN530752L (PA). The NPI Number for KENNETH JR. REICHENBACH (CRNP) is 1700021730

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH JR. REICHENBACH (CRNP)
NPI
1700021730
Phone
Not provided
Address
PO BOX 783311
Enumeration Date
4 December 2008
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6107701606
Graduation Year
2008 (18 years ago)
PAC ID
0941364855
Group Practice PAC ID
1557265212
Professional Enrollment ID
I20090121000430
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

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Provider Addresses for KENNETH JR. REICHENBACH (CRNP)

  • American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States

    PHILADELPHIA, PA 191783311

    Phone:

    Type: Mailing

  • South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States

    SUITE 2800

    ALLENTOWN, PA 181036229

    Phone: (610) 402-9008

    Fax: (610) 402-9006

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Imperative Care, Inc ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Imperative Care, Inc$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090121000430INurse PractitionerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19178)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557265212View full group profile
NameSpecialtyState
Diagnostic RadiologyPA
-PA
-PA
-PA
Diagnostic RadiologyNJ
Diagnostic RadiologyPA
Diagnostic RadiologyIA
-PA
Diagnostic RadiologyPA
Interventional RadiologyMD

Reviews

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Frequently asked questions

What number should I use to identify KENNETH JR. REICHENBACH (CRNP) for billing?
Administrative and clinical systems typically use NPI 1700021730 for KENNETH JR. REICHENBACH (CRNP).
Does the public listing show KENNETH JR. REICHENBACH (CRNP) as active?
KENNETH JR. REICHENBACH (CRNP)'s NPI record reflects an active status in NPPES.
How should patients interpret KENNETH JR. REICHENBACH (CRNP)'s specialty?
The extract shows Nurse Practitioner for KENNETH JR. REICHENBACH (CRNP). Clinical services aligned with this taxonomy classification.
What city is tied to KENNETH JR. REICHENBACH (CRNP)?
The directory associates KENNETH JR. REICHENBACH (CRNP) with Philadelphia, Pennsylvania. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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