Individual provider Active NPI

Kerri Ann Orr, PA-C

  • Medical Physician Assistant
  • Scranton, PA
National Provider Identifier
1154807865
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA059932 Issued in PA
Practice address
300 Lackawanna Ave
Scranton, PA 18503-2001
Phone
(570) 961-3823
Fax
(570) 207-5988
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X OA004541 PA
Medical Physician Assistant 363AM0700X MA059932 PA Primary

Addresses

Primary practice location

300 Lackawanna Ave
Scranton, PA 18503-2001

Mailing address

1177 Highway 315 Blvd
Dolphin Plaza
Wilkes Barre, PA 18702-6928
Phone (570) 270-5713

Other practice location 1

1177 Highway 315 BLVD
Dolphin Plaza
Wilkes Barre, PA 18702-6928
Phone (570) 270-5713

Other practice location 2

414 Rear East Drinker Street
Suite 203
Dunmore, PA 18512-2469
Phone (570) 558-2050

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
I20190116003407 PA Practitioner - Physician Assistant 3577809219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

300 Lackawanna Ave
Scranton, PA 18503-2001
Phone (570) 961-3823

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA004541PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Mar 4, 2024 Accepting new patients
Geisinger Clinic CurrentSince Mar 4, 2024 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

414 E Drinker St
Ste 203
Dunmore, PA 18512
Phone (570) 558-2050

1201 Oak St
Pittston, PA 18640
Phone (570) 808-9800

300 Lackawanna Ave
Scranton, PA 18503
Phone (570) 342-7864

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1154807865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 HIGHWAY 315 BLVD",
            "address_2": "DOLPHIN PLAZA",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026928",
            "telephone_number": "570-270-5713",
            "fax_number": "570-270-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LACKAWANNA AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185032001",
            "telephone_number": "570-961-3823",
            "fax_number": "570-207-5988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1177 Highway 315 BLVD",
            "address_2": "Dolphin Plaza",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187026928",
            "country_code": "US",
            "telephone_number": "570-270-5713",
            "fax_number": "570-270-5719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 Rear East Drinker Street",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Dunmore",
            "state": "PA",
            "postal_code": "185122469",
            "country_code": "US",
            "telephone_number": "570-558-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORR",
        "first_name": "KERRI",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA004541",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.