Kate Cordisco, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP013420 Issued in PA

Practice address

293 Peat Moss Rd
White Haven, PA 18661-3803

Phone

(570) 972-4471

NPI assigned

Nov 14, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, CA, NY, DC, FL, ME, IL, WI, CT, NC, LA, AK, HI, MA, MN, WV, NH, TN, DE, OR, ND, VT, RI, VA, SC, GA26 enrollments

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 26

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 27)

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.

• St. Luke's Physician Group, Inc.

  dba South Mountain Family Practice

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment NPD
• Advanced Inpatient Medicine Lehigh PC

  • Hospitalist Physician
  • Hanover, MD
  • NPI 1437537875

  PA

  Medicare reassignment NPD
• Chess Medicine PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Montebello, NY
  • NPI 1699385021

  PA

  Medicare reassignment
• Mdwatch Medical Corp.

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1548842370

  DC, NY, PA

  Medicare reassignment
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  ME, NC, ND, OR, SC, VT, WV

  Medicare reassignment
• Tapestry Telehealth PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1992215446

  LA

  Medicare reassignment
• St Luke's Physician Group Inc

  dba St. Luke's Primary Care Orwigsburg

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St. Luke's Physician Group, Inc.

  • Nephrology Physician
  • Allentown, PA
  • NPI 1588970248
  NPD
• Care Talk Health FL PA

  • Public Health & General Preventive Medicine Physician
  • Bethesda, MD
  • NPI 1477263077
  NPD
• Mdwatch Ca, PC

  dba MDWatch

  • General Practice Physician
  • San Diego, CA
  • NPI 1275145138
  NPD
• Openloop Healthcare Partners California PC

  • Plastic and Reconstructive Surgery Physician
  • Los Angeles, CA
  • NPI 1598418063
  NPD
• Openloop Healthcare Partners California PC

  • General Practice Physician
  • Palm Desert, CA
  • NPI 1659042331
  NPD

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1003246851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 PEAT MOSS RD",
            "city": "WHITE HAVEN",
            "state": "PA",
            "postal_code": "186613803",
            "telephone_number": "570-972-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 PEAT MOSS RD",
            "city": "WHITE HAVEN",
            "state": "PA",
            "postal_code": "186613803",
            "telephone_number": "570-972-4471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "959 Wyoming Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185093023",
            "country_code": "US",
            "telephone_number": "570-344-9684",
            "fax_number": "570-969-0968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDISCO",
        "first_name": "KATE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adina Veronela Andras, FNP-C
• Louis J Delgatto, M.D.
• Ellen Eachus
• Bethann Feist
• Rose Firdous
• Michele Garren, RN

• Family Nurse Practitioner in White Haven, PA
• Providers in White Haven, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.