NPIMap

Individual provider Active NPI

Erin Hetu, CRNP

  • Gerontology Nurse Practitioner
  • Stroudsburg, PA
National Provider Identifier
1285282913
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP020613 Issued in PA
Practice address
1581 N 9TH St
Stroudsburg, PA 18360-7576
Phone
(272) 212-4490
Fax
(272) 212-4491
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X SP020613 PA
Gerontology Nurse Practitioner 363LG0600X SP020613 PA Primary

Addresses

Primary practice location

1581 N 9TH St
Stroudsburg, PA 18360-7576

Mailing address

801 Ostrum Street
Central Verification Office
Bethlehem, PA 18015-1000
Phone (484) 526-4999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190925000051 PA Practitioner - Nurse Practitioner 7315277902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1581 N 9TH St
Stroudsburg, PA 18360-7576
Phone (272) 212-4490

Hospital & facility affiliations

  • Residential Healthcare of NE PA, LLC Home health agency, Moosic, PA, CCN 397726
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020613PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. CurrentSince Sep 25, 2019 Accepting new patients
St. Luke'S Physician Group, Inc CurrentSince Oct 14, 2019 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Oct 14, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

801 Ostrum St
Ofc
Bethlehem, PA 18015
Phone (484) 526-8046

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1619 N 9th St
Ste 2
Stroudsburg, PA 18360
Phone (570) 664-8900

1581 N 9th St
Stroudsburg, PA 18360
Phone (272) 212-4490

Organizations & group practices 5

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 9

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1285282913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM STREET",
            "address_2": "CENTRAL VERIFICATION OFFICE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-4999",
            "fax_number": "833-213-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607576",
            "telephone_number": "272-212-4490",
            "fax_number": "272-212-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETU",
        "first_name": "ERIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "SP020613",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP020613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.