NPIMap

Individual provider Active NPI

Nicole McAndrew, DO

  • Obstetrics & Gynecology Physician
  • Scranton, PA
National Provider Identifier
1144845215
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS023826 Issued in PA
Practice address
748 Quincy Ave Ste 2a
Scranton, PA 18510-1739
Phone
(570) 961-0851
Fax
(570) 344-4285
NPI assigned
Jun 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS023826 PA Primary

Addresses

Primary practice location

748 Quincy Ave Ste 2a
Scranton, PA 18510-1739

Mailing address

748 Quincy Ave Ste 2a
Scranton, PA 18510-1739
Phone (570) 961-0851

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Nicole.McAndrew.1@21771.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812000988 PA Practitioner - Obstetrics/Gynecology 6800334780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

315 S Main St
Old Forge, PA 18518-1606
Phone (570) 457-8364

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (570) 340-5079

748 Quincy Ave
Scranton, PA 18510-1739

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Quincy Clinic Company LLC CurrentSince Sep 1, 2024 Accepting new patients
Scranton Hospital Company LLC Past Accepting new patients
Wilkes-Barre Clinic Company LLC Past Accepting new patients

Locations

150 Brooklyn St
Carbondale, PA 18407
Phone (570) 282-2031

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

748 Quincy Ave
Ste 2A
Scranton, PA 18510
Phone (570) 961-0851

Interoperability endpoints

  • Direct secure messaging: nicole.mcandrew.1@21771.direct.athenahealth.com

Organizations & group practices 3

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 12

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": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1144845215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 QUINCY AVE STE 2A",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101739",
            "telephone_number": "570-961-0851",
            "fax_number": "570-344-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 QUINCY AVE STE 2A",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101739",
            "telephone_number": "570-961-0851",
            "fax_number": "570-344-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANDREW",
        "first_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-14",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS023826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nicole.McAndrew.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "748 Quincy Ave Ste 2A",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185101739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.