Individual provider Active NPI

Brenda Miller Tocket, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingston, PA
National Provider Identifier
1154908663
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP023525 Issued in PA
Practice address
79 S Gates Ave
Kingston, PA 18704-5421
Phone
(570) 406-7350
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP023525 PA Primary

Addresses

Primary practice location

79 S Gates Ave
Kingston, PA 18704-5421

Mailing address

79 S Gates Ave
Kingston, PA 18704-5421
Phone (570) 406-7350

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
I20210624000476 PA Practitioner - Nurse Practitioner 1658772967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Children'S Service Center of Wyoming Valley IncGroup PAC ID 1052567617, 32 clinicians

Practice addresses (Care Compare)

840 Main St
Honesdale, PA 18431-1847
Phone (570) 253-0321

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Service Center of Wyoming Valley, Inc CurrentSince Jun 7, 2021 Accepting new patients
Children'S Service Center of Wyoming Valley, Inc CurrentSince Jun 7, 2021 Accepting new patients
Children'S Service Center of Wyoming Valley, Inc Current Accepting new patients

Locations

840 Main St
Honesdale, PA 18431
Phone (570) 253-0321

133 W Tioga St
Tunkhannock, PA 18657
Phone (570) 836-2722

335 S Franklin St
Wilkes Barre, PA 18702
Phone (570) 825-6425

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1154908663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 S GATES AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045421",
            "telephone_number": "570-406-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 S GATES AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045421",
            "telephone_number": "570-406-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOCKET",
        "first_name": "BRENDA",
        "middle_name": "MILLER",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP023525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.