Individual provider Active NPI

Colleen Tempest Newswanger, PA-C

  • Physician Assistant
  • Tunkhannock, PA
National Provider Identifier
1174517551
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA003325L Issued in PA
Practice address
1 Kim Ave
Tunkhannock, PA 18657-9103
Phone
(570) 836-2313
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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 MA003325L PA Primary

Addresses

Primary practice location

1 Kim Ave
Tunkhannock, PA 18657-9103

Mailing address

PO Box 1347
Kingston, PA 18704-0347
Phone (570) 836-2313

Other names 1

  • Colleen Marie Tempest 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
I20040907000525 PA Practitioner - Physician Assistant 2264408749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA003325LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Aug 1, 2008 Accepting new patients
Geisinger Clinic CurrentSince Aug 1, 2008 Accepting new patients
Geisinger Clinic Past Accepting new patients
Cheryl a Stone MD Past Accepting new patients

Locations

425 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-2474

16 Woodbine Ln
Danville, PA 17821
Phone (570) 271-6531

100 N Academy Ave
Danville, PA 17822

1020 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100

400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473

3 W Olive St
Ste 210A
Scranton, PA 18508
Phone (570) 342-0889

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

809 Hunter Hwy
Tunkhannock, PA 18657
Phone (570) 966-2700

10 Trieble Dr
Tunkhannock, PA 18657
Phone (570) 836-2273

25 Church St
Wilkes Barre, PA 18702
Phone (570) 340-5800

Interoperability endpoints

  • Direct secure messaging: ctempestnewswanger82626@direct.geisinger.edu

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1174517551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1347",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040347",
            "telephone_number": "570-836-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KIM AVE",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186579103",
            "telephone_number": "570-836-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSWANGER",
        "first_name": "COLLEEN",
        "middle_name": "TEMPEST",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003325L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "TEMPEST",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tunkhannock, PA

Sources for this page

Verify at the official NPI Registry.