Individual Healthcare Provider
Kristen Joan Pettine, RNFA
Provider's NPPES record last updated: May 21, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063342988
- Primary Specialty
- Registered Nurse — Registered Nurse First Assistant
- Practice Location
- Paoli, Pennsylvania
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 12:10 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Registered Nurse
Registered Nurse First Assistant
Nursing Service Providers
A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon.
Taxonomy code 163WR0006X
Provider-Reported License Information
- Registered Nurse (Pennsylvania)
- RN589167
Practice Locations
Practice Location
4 Industrial Blvd
Paoli, Pennsylvania 19301-1605
Phone: (610) 644-6900
Additional Practice Location
255 W Lancaster Ave
Paoli, Pennsylvania 19301-1763
Phone: (484) 565-1000
Additional Practice Location
1230 American Blvd
West Chester, Pennsylvania 19380-4264
Phone: (484) 473-6050
Additional Practice Location
491 John Young Way
Exton, Pennsylvania 19341-2567
Phone: (484) 872-8408
Record Information
- Enumeration Date
- May 21, 2026
- Provider's NPPES Record Last Updated
- May 21, 2026
- Certification Date
- May 21, 2026
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue