Individual provider Active NPI

Darnetta Yusko, CRNP, IBCLC

  • Nurse Practitioner
  • Kingston, PA
National Provider Identifier
1215348453
Registry record updated Aug 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP015028 Issued in PA
Practice address
190 Welles St Ste 112-114
Kingston, PA 18704-4968
Phone
(570) 714-1099
Fax
(570) 714-1116
NPI assigned
May 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X RN540757 PA
Family Nurse Practitioner 363LF0000X SP015028 PA
Nurse Practitioner 363L00000X SP015028 PA Primary

Addresses

Primary practice location

190 Welles St Ste 112-114
Kingston, PA 18704-4968

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

425 Tioga Ave
Kingston, PA 18704-5624
Phone (570) 288-6543

Other identifiers 1

IdentifierTypeStateIssuer
1031029380001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dyusko146477@direct.geisinger.edu Direct

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
I20190131000040 PA Practitioner - Nurse Practitioner 1557679727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
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)

190 Welles St
Suite 122
Forty Fort, PA 18704-4968
Phone (570) 718-4140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN540757PAMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Geisinger Clinic CurrentSince Feb 18, 2019 Accepting new patients
Geisinger Clinic CurrentSince Feb 18, 2019 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

190 Welles St
Kingston, PA 18704
Phone (570) 283-0524

190 Welles St
Ste 112114
Kingston, PA 18704
Phone (570) 714-1099

190 Welles St
Ste 122
Kingston, PA 18704
Phone (570) 718-4140

3 W Olive St
Ste 210B
Scranton, PA 18508

517 Ash St
Ste 600
Scranton, PA 18509
Phone (570) 703-4860

Interoperability endpoints

  • Direct secure messaging: dyusko146477@direct.geisinger.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598745600000",
    "number": "1215348453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 WELLES ST STE 112-114",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044968",
            "telephone_number": "570-714-1099",
            "fax_number": "570-714-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Tioga Ave",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "PA",
            "postal_code": "187045624",
            "country_code": "US",
            "telephone_number": "570-288-6543",
            "fax_number": "570-288-7130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUSKO",
        "first_name": "DARNETTA",
        "name_prefix": "Mrs.",
        "credential": "CRNP, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "PA",
            "license": "RN540757",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015028",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP015028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031029380001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dyusko146477@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "190 Welles St Ste 112-114",
            "city": "Kingston",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187044968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.