Individual provider Active NPI

Laurel Christine Pszcolka, CRNP

  • Nurse Practitioner
  • York, PA
National Provider Identifier
1023632064
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP025489 Issued in PA
Practice address
1620 S Queen St Ste 2
York, PA 17403-4637
Phone
(717) 843-6663
Fax
(855) 656-7325
NPI assigned
Jun 5, 2020
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP025489 PA Primary
Nurse Practitioner 363L00000X R195870 MD

Addresses

Primary practice location

1620 S Queen St Ste 2
York, PA 17403-4637

Mailing address

9800 Shelbyville Rd Ste 220
Louisville, KY 40223-2992
Phone (502) 429-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20201016000241 MD Practitioner - Nurse Practitioner 9739509522 Reassigns benefits to 1 organization
I20220503001951 PA Practitioner - Nurse Practitioner 9739509522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PSF PLLCGroup PAC ID 1557265543, 98 clinicians

Practice addresses (Care Compare)

1620 S Queen St
2 Family Allergy and Asthma
York, PA 17403-4637
Phone (800) 999-1249

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R195870MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew P Mardiney MD PC CurrentSince Sep 22, 2020 Accepting new patients
PSF PLLC Nurse Practitioner CurrentSince May 2, 2022 Accepting new patients

Locations

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585

2225 Old Emmorton Rd
Ste 111
Bel Air, MD 21015
Phone (410) 741-3440

1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337

470 Sentry Pkwy E
Ste 200
Blue Bell, PA 19422
Phone (610) 825-5800

420 W Elm Ave
Ste 2
Hanover, PA 17331

2 Penn Ctr
Ste 160
Philadelphia, PA 19102
Phone (215) 563-2933

1620 S Queen St
Ste 2
York, PA 17403
Phone (717) 843-6663

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1023632064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "855-656-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S QUEEN ST STE 2",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034637",
            "telephone_number": "717-843-6663",
            "fax_number": "855-656-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSZCOLKA",
        "first_name": "LAUREL",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP025489",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R195870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.