Individual provider Active NPI

Kristen Anne Ricciardi, CRNP

  • Family Nurse Practitioner
  • Dunmore, PA
National Provider Identifier
1003290495
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015085 Issued in PA
Practice address
1140 Quincy Ave
Dunmore, PA 18510-1150
Phone
(570) 983-0360
Fax
(570) 983-0375
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015085 PA Primary

Addresses

Primary practice location

1140 Quincy Ave
Dunmore, PA 18510-1150

Mailing address

1140 Quincy Ave
Dunmore, PA 18510-1150
Phone (570) 983-0360

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150818003519 PA Practitioner - Nurse Practitioner 0547575748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

1140 Quincy Ave
Dunmore, PA 18510-1150
Phone (570) 983-0360

Hospital & facility affiliations

  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125
  • Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237

Merit-based Incentive Payment System (MIPS)

Final score
95.15 of 100Reported as apm
Quality
83.54
Promoting interoperability
94.52
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Nov 18, 2024 Accepting new patients
Advanced Inpatient Medicine PC CurrentSince Jan 27, 2021 Accepting new patients
Geisinger Clinic CurrentSince Nov 18, 2024 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

1140 Quincy Ave
Scranton, PA 18510
Phone (570) 347-4420

3 W Olive St
Ste 201
Scranton, PA 18508
Phone (570) 961-9947

Interoperability endpoints

  • Direct secure messaging: kricciardi@primemed.medentdirect.com

Organizations & group practices 4

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1003290495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 QUINCY AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185101150",
            "telephone_number": "570-983-0360",
            "fax_number": "570-983-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 QUINCY AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185101150",
            "telephone_number": "570-983-0360",
            "fax_number": "570-983-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIARDI",
        "first_name": "KRISTEN",
        "middle_name": "ANNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

Verify at the official NPI Registry.