MISS KATHRYN SUSAN MACEYKO (CRNP) – Family Nurse Practitioner, NPI 1760856736
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,556 NURSE PRACTITIONER in PA
Provider Addresses for MISS KATHRYN SUSAN MACEYKO (CRNP)
1701 W RITNER ST
PHILADELPHIA, PA 191454324
Phone:
Type: Mailing
325 Chestnut St Ste 800
Philadelphia, PA 191062608
Phone: (973) 241-1356
Type: Location
101 Greenwood Ave Ste 140
Jenkintown, PA 190462649
Phone: (973) 241-1356
Type: Location
150 MONUMENT RD STE 500
BALA CYNWYD, PA 190041701
Phone: (855) 478-8208
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-08-07
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231108002908 | I | Nurse Practitioner | PA | TBD |
| I20240322002172 | I | Nurse Practitioner | NC | TBD |
| I20250807001476 | I | Nurse Practitioner | SC | TBD |
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.
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 19145)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA |
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