Individual provider Active NPI

Kari Elizabeth Nargoski, PA-C

  • Physician Assistant
  • Swoyersville, PA
National Provider Identifier
1124322573
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA002573 Issued in PA
Practice address
1200 Main St
Swoyersville, PA 18704-1318
Phone
(570) 283-3301
Fax
(570) 283-3304
NPI assigned
Dec 28, 2010
Last updated
Jan 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA002573 PA Primary

Addresses

Primary practice location

1200 Main St
Swoyersville, PA 18704-1318

Mailing address

1200 Main St
Swoyersville, PA 18704-1318
Phone (570) 283-3301

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
I20110308000051 PA Practitioner - Physician Assistant 7012199474 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
James W Galasso III D.O. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1124322573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MAIN ST",
            "city": "SWOYERSVILLE",
            "state": "PA",
            "postal_code": "187041318",
            "telephone_number": "570-283-3301",
            "fax_number": "570-283-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MAIN ST",
            "city": "SWOYERSVILLE",
            "state": "PA",
            "postal_code": "187041318",
            "telephone_number": "570-283-3301",
            "fax_number": "570-283-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARGOSKI",
        "first_name": "KARI",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swoyersville, PA

Sources for this page

Verify at the official NPI Registry.