Carley Brooke Neinas

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA061098 Issued in PA

Practice address

273 Grandview Ave
Honesdale, PA 18431-1163

Phone

(570) 390-4545

Fax

(570) 390-4546

NPI assigned

Jun 29, 2019

Last updated

Aug 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Carley Brooke Bates Former name

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wayne Memorial Community Health CentersGroup PAC ID 3072598937, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Wayne Memorial Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Honesdale, PA
  • NPI 1952395121
  Medicare reassignment Care Compare group NPD
• Wayne Memorial Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Honesdale, PA
  • NPI 1346000569
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wayne Memorial Hospital

  • General Acute Care Hospital
  • Honesdale, PA
  • NPI 1124026182
  Care Compare affiliation

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

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1295397222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402650",
            "telephone_number": "845-333-7575",
            "fax_number": "845-333-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 GRANDVIEW AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311163",
            "telephone_number": "570-390-4545",
            "fax_number": "570-390-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEINAS",
        "first_name": "CARLEY",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-29",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061098",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "023873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLEY",
            "last_name": "BATES",
            "middle_name": "BROOKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward L Murray, DPM
• Joseph C Murray, DPT
• Meegan Lee Murray, M.P.T.
• Freda Musial, NP
• Aalamar Narayan, MD
• Allison Nilsen, LCSW
• Northeast Counseling Associates, Inc.
• Northeastern Gastroenterology Associates, PC
• Northern Light Counseling
• Northland Hearing Centers, Inc (Audibel Hearing Care Centers)

• Physician Assistant in Honesdale, PA
• Providers in Honesdale, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.