Jacqueline Desiree Joseph, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP024568 Issued in PA

Practice address

7164 Route 209
Stroudsburg, PA 18360-7108

Phone

(570) 656-4254

Fax

(570) 300-9204

NPI assigned

Mar 6, 2009

Last updated

Apr 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Methodist ServicesGroup PAC ID 5193034718, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mainstay Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Stroudsburg, PA
  • NPI 1730914128
  Medicare reassignment NPD Authorized official
• Methodist Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bangor, PA
  • NPI 1457386328
  Medicare reassignment Care Compare group NPD
• Metro Family Practice, Inc.

  dba Metro Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
  • NPI 1740283845
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1003056888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S NEW ST STE 110",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151110",
            "telephone_number": "570-656-4254",
            "fax_number": "570-300-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7164 ROUTE 209",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607108",
            "telephone_number": "570-656-4254",
            "fax_number": "570-300-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JACQUELINE",
        "middle_name": "DESIREE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP024568",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "5727171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romaine G Johnson, OD
• Caroline McKinley Johnston, LCSW
• Kristen Jolly, RN
• Shahida Jones, LSW
• Sahlia Kai Joseph-Pauline, DO
• Tamre Marie Joyce
• Jaimie Juschitsch
• Aubry Kacsur, MS CCC-SLP
• Constantina Irene Kallinteris, LCSW
• Jacob Kanyuk, PT. DPT

• Psychiatric/Mental Health Nurse Practitioner in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.