Individual provider Active NPI

Deanna Lynn English, CRNP

  • Nurse Practitioner
  • Wilkes Barre, PA
National Provider Identifier
1154833440
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP017928 Issued in PA
Practice address
1620 Highway 315 Blvd
Wilkes Barre, PA 18702-7125
Phone
(570) 823-8896
Fax
(570) 270-2692
NPI assigned
Oct 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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 SP017928 PA Primary

Addresses

Primary practice location

1620 Highway 315 Blvd
Wilkes Barre, PA 18702-7125

Mailing address

537 N Bromley Ave
Scranton, PA 18504-1801
Phone (570) 878-2173

Other names 1

  • Ms. Deanna Lynn Jurbala Former name

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
I20180321001457 PA Practitioner - Nurse Practitioner 4587926076 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Consultants of Wyoming Valley PC CurrentSince Dec 8, 2018 Accepting new patients

Locations

1620 Highway 315 Blvd
Ste 1
Wilkes Barre, PA 18702
Phone (570) 237-5444

1620 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (570) 823-8896

Interoperability endpoints

  • Direct secure messaging: deenglish@renal.medentdirect.com

Organizations & group practices 1

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": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1154833440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 N BROMLEY AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185041801",
            "telephone_number": "570-878-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 HIGHWAY 315 BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027125",
            "telephone_number": "570-823-8896",
            "fax_number": "570-270-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLISH",
        "first_name": "DEANNA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "JURBALA",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.