Individual provider Active NPI

Karolina M Levesque, CRNP

  • Family Nurse Practitioner
  • South Abington Township, PA
National Provider Identifier
1245536515
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011102 Issued in PA
Practice address
105 Layton Rd
South Abington Township, PA 18411-9376
Phone
(570) 586-8186
Fax
(570) 587-0758
NPI assigned
Feb 4, 2011
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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 SP011102 PA Primary

Addresses

Primary practice location

105 Layton Rd
South Abington Township, PA 18411-9376

Mailing address

254 Chestnut Ave
Kingston, PA 18704-3352
Phone (570) 287-2347

Other practice location 1

677 Kidder St Ste D
Wilkes Barre Township, PA 18702-6914
Phone (570) 825-2046

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
I20110610000572 PA Practitioner - Nurse Practitioner 6608053046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

677 Kidder St
Wilkes Barre Township, PA 18702-6914
Phone (570) 825-2046

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ucmg LLC CurrentSince Jun 1, 2025 Accepting new patients
Urgent Care, PC - Pennsylvania CurrentSince Dec 13, 2019 Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

276 W Side Mall
Edwardsville, PA 18704
Phone (570) 283-0791

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

677 Kidder St
Ste D
Wilkes Barre Township, PA 18702
Phone (570) 825-2046

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1245536515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 CHESTNUT AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043352",
            "telephone_number": "570-287-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LAYTON RD",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184119376",
            "telephone_number": "570-586-8186",
            "fax_number": "570-587-0758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "677 Kidder St Ste D",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre Township",
            "state": "PA",
            "postal_code": "187026914",
            "country_code": "US",
            "telephone_number": "570-825-2046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVESQUE",
        "first_name": "KAROLINA",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Abington Township, PA

Sources for this page

Verify at the official NPI Registry.