Individual provider Active NPI

Danielle Wysokinski, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomsburg, PA
National Provider Identifier
1285505420
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP033869 Issued in PA
Practice address
308 E 2ND St
Bloomsburg, PA 17815-1869
Phone
(570) 961-3361
NPI assigned
Sep 12, 2025
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP033869 PA Primary
Registered Nurse 163W00000X RN638478 PA

Addresses

Primary practice location

308 E 2ND St
Bloomsburg, PA 17815-1869

Mailing address

308 E 2ND St
Bloomsburg, PA 17815-1869
Phone (570) 961-3361

Other practice location 1

4101 Birney Ave
Moosic, PA 18507-1323
Phone (570) 961-3361

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
I20260123003208 PA Practitioner - Nurse Practitioner 7517444128 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

Practice addresses (Care Compare)

4101 Birney Ave
Moosic, PA 18507-1323

6270 141St LN NW
Ramsey, MN 55303-5686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN638478PAMDRegistered Nurse
SP033869PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John G Kuna Psy D & Associates LLC CurrentSince Dec 21, 2025 Accepting new patients

Locations

308 E 2nd St
Bloomsburg, PA 17815
Phone (570) 899-5126

1011 Pennsylvania Ave
Matamoras, PA 18336
Phone (570) 491-4728

4101 Birney Ave
Moosic, PA 18507
Phone (507) 961-3361

Organizations & group practices 1

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": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1285505420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E 2ND ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151869",
            "telephone_number": "570-961-3361",
            "fax_number": "570-961-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E 2ND ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151869",
            "telephone_number": "570-961-3361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 Birney Ave",
            "address_purpose": "LOCATION",
            "city": "Moosic",
            "state": "PA",
            "postal_code": "185071323",
            "country_code": "US",
            "telephone_number": "570-961-3361",
            "fax_number": "570-961-3364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYSOKINSKI",
        "first_name": "DANIELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP033869",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN638478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

Verify at the official NPI Registry.