Individual provider Active NPI

Jennifer Wahy, CRNP

  • Nurse Practitioner
  • Hazle Township, PA
National Provider Identifier
1295397057
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP026721 Issued in PA
Practice address
426 Airport Rd
Hazle Township, PA 18202-3361
Phone
(570) 459-9730
Fax
(570) 459-9736
NPI assigned
Jul 2, 2019
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP026721 PA Primary
Registered Nurse 163W00000X RN606587 PA

Addresses

Primary practice location

426 Airport Rd
Hazle Township, PA 18202-3361

Mailing address

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

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
I20230111000323 PA Practitioner - Nurse Practitioner 2365812245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Caring Community Health CenterGroup PAC ID 5698004588, 46 clinicians

Practice addresses (Care Compare)

1000 E Mountain Dr
Wilkes Barre, PA 18711-0001
Phone (570) 826-7850

426 Airport Rd
Suite 125
Hazle Township, PA 18202-3361
Phone (570) 829-2621

531 Mt Pleasant Dr
Scranton, PA 18503-1987
Phone (570) 342-8500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN606587PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Geisinger Clinic Nurse Practitioner CurrentSince Jan 16, 2023 Accepting new patients
Geisinger Clinic CurrentSince Jan 16, 2023 Accepting new patients
Caring Community Health Center Current Accepting new patients
Caring Community Health Center CurrentSince Jan 16, 2023 Accepting new patients
Caring Community Health Center CurrentSince Jan 16, 2023 Accepting new patients
Geisinger Clinic GYN Onc Nurse Practitioner Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

426 Airport Rd
Hazle Township, PA 18202
Phone (570) 453-0172

426 Airport Rd
Ste 125
Hazle Township, PA 18202
Phone (570) 829-2621

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702
Phone (570) 821-0808

Interoperability endpoints

  • Direct secure messaging: jwahy558569@direct.geisinger.edu

Organizations & group practices 7

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1295397057",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 AIRPORT RD",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182023361",
            "telephone_number": "570-459-9730",
            "fax_number": "570-459-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHY",
        "first_name": "JENNIFER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP026721",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN606587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazle Township, PA

Sources for this page

Verify at the official NPI Registry.