Individual provider Active NPI

Jessica Giannetti, CRNP

  • Family Nurse Practitioner
  • Waymart, PA
National Provider Identifier
1275962185
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013204 Issued in PA
Practice address
27B Woodlands Dr
Waymart, PA 18472-9366
Phone
(570) 488-9550
Fax
(570) 488-9550
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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 SP013204 PA Primary

Addresses

Primary practice location

27B Woodlands Dr
Waymart, PA 18472-9366

Mailing address

601 Park St
Honesdale, PA 18431-1445
Phone (570) 488-9553

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
I20140206000055 PA Practitioner - Nurse Practitioner 5193954501 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP013204PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Community Health Centers CurrentSince Feb 21, 2017 Accepting new patients
Wayne Memorial Community Health Centers CurrentSince Feb 21, 2017 Accepting new patients

Locations

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

1839 Fair Ave
Honesdale, PA 18431
Phone (570) 251-6500

412 Como Rd
Lake Como, PA 18437
Phone (570) 775-7100

27B Woodlands Dr
Waymart, PA 18472
Phone 5704889550 ext. 104

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1275962185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PARK ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311445",
            "telephone_number": "570-488-9553",
            "fax_number": "570-488-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27B WOODLANDS DR",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "184729366",
            "telephone_number": "570-488-9550",
            "fax_number": "570-488-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNETTI",
        "first_name": "JESSICA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waymart, PA

Sources for this page

Verify at the official NPI Registry.