Individual provider Active NPI

Charlene Kosior Zablotney, MSN CRNP

  • Family Nurse Practitioner
  • Wilkes Barre, PA
National Provider Identifier
1215177647
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP010124 Issued in PA
Practice address
1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone
(570) 808-0611
Fax
(570) 808-6362
NPI assigned
Feb 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP010124 PA Primary

Addresses

Primary practice location

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027

Mailing address

1264 Sutton Creek Road
Dallas, PA 18612
Phone (570) 333-4131

Other practice location 1

1264 Sutton Creek Road
Dallas, PA 18612
Phone (570) 333-4131

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
I20090408000138 PA Practitioner - Nurse Practitioner 0446307508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avicenna Physician Services IncGroup PAC ID 1153733944, 14 clinicians

Practice addresses (Care Compare)

1000 Meade St
Suite 200
Dunmore, PA 18512-3197
Phone (610) 904-8100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Apr 1, 2009 Accepting new patients
Geisinger Clinic CurrentSince Apr 1, 2009 Accepting new patients
Geisinger Clinic Current Accepting new patients
Avicenna Physician Services Inc CurrentSince May 1, 2025 Accepting new patients

Locations

5148 Hamilton Blvd
Allentown, PA 18106
Phone (610) 515-9994

100 N Academy Ave
Danville, PA 17822

1000 Meade St
Ste 200
Dunmore, PA 18512
Phone (570) 496-0300

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1215177647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 SUTTON CREEK ROAD",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "18612",
            "telephone_number": "570-333-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MOUNTAIN BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110027",
            "telephone_number": "570-808-0611",
            "fax_number": "570-808-6362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1264 Sutton Creek Road",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "PA",
            "postal_code": "18612",
            "country_code": "US",
            "telephone_number": "570-333-4131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZABLOTNEY",
        "first_name": "CHARLENE",
        "middle_name": "KOSIOR",
        "name_prefix": "Ms.",
        "credential": "MSN CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.