Janet B Eisele, MSN, CRNP, C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

VP005779B Issued in PA

Practice address

27B Woodlands Drive
Waymart, PA 18472

Phone

(570) 488-9550

Fax

(570) 488-9553

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

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.

• Pediatric Practices of Northeastern PA

  • Pediatrics Physician
  • Milford, PA
  • NPI 1861722902
  NPD (past)
• Wayne Memorial Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Honesdale, PA
  • NPI 1952395121
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194932483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 FAIR AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184312121",
            "telephone_number": "570-253-5838",
            "fax_number": "570-253-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27B WOODLANDS DRIVE",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "18472",
            "telephone_number": "570-488-9550",
            "fax_number": "570-488-9553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1837 Fair Ave",
            "address_purpose": "LOCATION",
            "city": "Honesdale",
            "state": "PA",
            "postal_code": "184312121",
            "country_code": "US",
            "telephone_number": "570-253-5838",
            "fax_number": "570-253-6678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Route 6 and 209 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "PA",
            "postal_code": "183377615",
            "country_code": "US",
            "telephone_number": "570-296-4901",
            "fax_number": "570-296-5480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Ariel",
            "state": "PA",
            "postal_code": "184365606",
            "country_code": "US",
            "telephone_number": "570-689-7565",
            "fax_number": "570-689-4803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISELE",
        "first_name": "JANET",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MSN, CRNP, C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "VP005779B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025941960001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025941960003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025941960002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025941960004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhea Marie Carey, PA-C
• Joseph Cheslick, CRNP
• Edwin Daniels, PAC
• Kristen M. Daniels, PA-C
• Mary Edlind
• Jessica Giannetti, CRNP
• Jacqueline A Gillern, CRNP-APMH
• Maureen Gilroy, OT
• Gods Mountain Recovery Center
• Thomas Gavin Gravine

• Family Nurse Practitioner in Waymart, PA
• Providers in Waymart, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.