Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Stephanie Christine Mallgrave, CRNP

Individual provider Family Nurse Practitioner · NPI 1104280312

Mrs. Stephanie Christine Mallgrave, CRNP is a Family Nurse Practitioner in Philadelphia, Pennsylvania. Works from 3 locations. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2016
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1500 Spruce St
Philadelphia, PA 19102-4502
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 360 Route 73 S, Marlton, NJ 08053-2004 — (856) 596-7010
  • 824 N Black Horse Pike, Runnemede, NJ 08078-1034 — (866) 389-2727

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP016144 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ00627600 (NJ)

Record details

NPI number1104280312
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedApril 13, 2016
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients16
Services billed 31 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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