Individual provider Active NPI

Elmyra V. Encarnacion, MD

  • Neurology Physician
  • Wilkes Barre, PA
National Provider Identifier
1093762270
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD422042 Issued in PA
Practice address
1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone
(570) 808-6026
Fax
(570) 808-3208
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X N5037 TX
Neurology Physician 2084N0400X MD422042 PA Primary

Addresses

Primary practice location

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other identifiers 3

IdentifierTypeStateIssuer
1882268-01MedicaidTX
8W9869OtherTXBLUE CROSS BLUE SHIELD
P00455664OtherTXRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eencarnacion183436@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, VA, ND4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20031107000215 PA Practitioner - Neurology 0547173494 Reassigns benefits to 1 organization
I20180813001051 MD Practitioner - Neurology 0547173494 Reassigns benefits to 2 organizations
I20221201000369 VA Practitioner - Neurology 0547173494 Reassigns benefits to 1 organization
I20240830002706 ND Practitioner - Neurology 0547173494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Remote Telehealth Services, PAGroup PAC ID 9032514468, 11 clinicians
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians

Practice addresses (Care Compare)

13485 Rustling Oaks Dr
Wye Mills, MD 21679-2030
Phone (866) 333-8769

3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300

4535 Northern Sky Dr
Bismarck, ND 58503-8534
Phone (701) 323-8700

Hospital & facility affiliations

  • Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD422042PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Mary Washington Healthcare Physicians Neurology CurrentSince Mar 1, 2023 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Mar 1, 2023 Accepting new patients
Geisinger Clinic CurrentSince Aug 5, 2019 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Remote Telehealth Services Texas, PLLC CurrentSince Nov 1, 2024 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Sanford Bismarck CurrentSince Aug 19, 2024 Accepting new patients
Geisinger Clinic CurrentSince Aug 5, 2019 Accepting new patients
Wellspan Medical Group Past Accepting new patients
Neurology Specialists PLLC Neurology PastSince Jan 15, 2023 Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

490 Cadmus Ln
Ste 102
Easton, MD 21601
Phone (410) 770-5250

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

100 N Academy Ave
Danville, PA 17822

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

220 Executive Center Pkwy
Fredericksburg, VA 22401
Phone (540) 899-2900

Interoperability endpoints

  • Direct secure messaging: eencarnacion183436@direct.geisinger.edu
  • Direct secure messaging: elmyra.encarnacion@direct.einstein.edu

Organizations & group practices 11

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 1

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1093762270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MOUNTAIN BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110027",
            "telephone_number": "570-808-6026",
            "fax_number": "570-808-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCARNACION",
        "first_name": "ELMYRA",
        "middle_name": "V.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N5037",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD422042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1882268-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8W9869",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00455664",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eencarnacion183436@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 E Mountain Blvd",
            "city": "Wilkes Barre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187110027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.