Individual provider Active NPI

Ann M Strazdus, C.R.N.P.

  • Nurse Practitioner
  • Wilkes Barre, PA
National Provider Identifier
1063509669
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
TP006994C Issued in PA
Practice address
1130 Highway 315
Wilkes Barre, PA 18702-6952
Phone
(570) 823-8896
Fax
(570) 823-1291
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X TP006994C PA Primary

Addresses

Primary practice location

1130 Highway 315
Wilkes Barre, PA 18702-6952

Mailing address

1130 Highway 315
Wilkes Barre, PA 18702-6952
Phone (570) 823-8896

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
I20101201000170 PA Practitioner - Nurse Practitioner 7416143540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Care Associates, PCGroup PAC ID 7719294685, 9 clinicians

Practice addresses (Care Compare)

490 Northampton St
Suite 1
Edwardsville, PA 18704-4551
Phone (570) 288-8100

494 Northampton St
Suite 2
Edwardsville, PA 18704-4551
Phone (510) 718-0671

Hospital & facility affiliations

  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137
  • Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237

Merit-based Incentive Payment System (MIPS)

Final score
66.3 of 100Reported as group
Quality
37.36
Improvement activities
40
Cost
71.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Care Associates PC CurrentSince Dec 21, 2015 Accepting new patients
Renal Consultants of Wyoming Valley PC PastSince Mar 1, 2019 Accepting new patients

Locations

490 Northampton St
Kingston, PA 18704
Phone (570) 288-8100

490 Northampton St
Ste 1
Kingston, PA 18704
Phone (570) 288-8100

Interoperability endpoints

  • Direct secure messaging: ann.strazdus.1@14929.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063509669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 HIGHWAY 315",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026952",
            "telephone_number": "570-823-8896",
            "fax_number": "570-823-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 HIGHWAY 315",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026952",
            "telephone_number": "570-823-8896",
            "fax_number": "570-823-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAZDUS",
        "first_name": "ANN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP006994C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.