Nino Kavtaradze, CRNP
Nurse Practitioner · Feasterville Trevose, PA
Nino Kavtaradze, CRNP is a nurse practitioner with a practice address in Feasterville Trevose, Pennsylvania, and NPI 1639574841, issued on Oct 30, 2014. Check the license (Pennsylvania SP015632, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Nino Kavtaradze
- Credential
- CRNP
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License numbers
- SP015632 PA
RN632493 PA
Self-reported in NPPES; status is on the state search - Practice location
- 1200 Bustleton Pike Ste 16A3, Feasterville Trevose, PA 19053
- Phone
- (267) 574-5236
- Enumerated
- Oct 30, 2014
- Record last updated
- Nov 27, 2023
- Medicaid ID
- 1032670520017 PA
- Medicare enrollment
- Enrolled (PECOS I20250530002295); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest nurse practitioner records → All 3,916 in Pennsylvania → Look up another NPI →
Verify Nino Kavtaradze in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
Search for license SP015632Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $13.13
1 payment: food and beverage; the largest payer was Exeltis, USA Inc. The 38,884 providers of this specialty with any payment received $791.64 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Infinite Medical PCBrooklyn, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nino Kavtaradze among 3,916 nurse practitioner records in Pennsylvania
Nino Kavtaradze, CRNP is one of 3,916 nurse practitioner records with a practice address in Pennsylvania. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 39% of them.
- NPI issued2014 · 39% of these records are older, 58% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated2015 · median 2018 among the 2,360 with a school on file
- Record last updated2023 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
4 nurse practitioner records list a practice address in Feasterville Trevose
They are 4 of the 256 NPPES records with a practice address in Feasterville Trevose, and 3,916 nurse practitioner records in Pennsylvania.
All 3,916 in Pennsylvania → Every provider in Feasterville Trevose → Nurse Practitioner nationwide →
The 8 nurse practitioner records with the nearest ZIP codes
- Alice Eidenzon, CRNPFeasterville Trevose, PA 190531588170146
- Jincy John, DNPFeasterville Trevose, PA 190531477202026
- Briana Renois Antwi, NPFeasterville Trevose, PA 190531376182725
- Sherry Shire-Misnik, CRNPTrevose, PA 190531770721433
- Elizabeth Gedeon, ACRNPLevittown, PA 190551669799011
- Lisa Scaccetti, CRNPLevittown, PA 190551366745200
- Guanjun ChengYeadon, PA 190501841950383
- Alyssa Agati, NPLanghorne, PA 190471598439564
Common questions
What is Nino Kavtaradze, CRNP's NPI number?
Nino Kavtaradze, CRNP's National Provider Identifier (NPI) is 1639574841, issued on Oct 30, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Nino Kavtaradze, CRNP located?
The NPPES record lists a practice address at 1200 Bustleton Pike Ste 16A3, Feasterville Trevose, PA, 19053. Phone: (267) 574-5236. Providers update this record themselves, so call before visiting.
How can I verify Nino Kavtaradze, CRNP's license?
NPPES lists Pennsylvania license number SP015632, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.