Mary Ellen Clark-Pienciak, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN226892-L Issued in PA

Practice address

750 Willow Valley Lakes Drive
Willow Street, PA 17584

Phone

(717) 464-6200

Fax

(717) 464-6205

NPI assigned

Aug 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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 and National Provider Directory roles.

• Willow Valley Communities

  • Nurse Practitioner
  • Willow Street, PA
  • NPI 1649054511
  NPD
• Willow Valley Retirement Communities

  • Audiologist
  • Lancaster, PA
  • NPI 1730450479
  NPD (past)

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1316721194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MCCAULEY RD",
            "city": "CONOWINGO",
            "state": "MD",
            "postal_code": "219181618",
            "telephone_number": "410-658-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WILLOW VALLEY LAKES DRIVE",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "17584",
            "telephone_number": "717-464-6200",
            "fax_number": "717-464-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-PIENCIAK",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN226892-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Hart Busch, LPC
• Jennifer Bushong
• Anita Cheryl Carter
• Change From Within Counseling Services, LLC
• Rebecca M Charles, LSW
• Andrew Clark, CRNP
• Amanda Consylman
• Patricia Lynn Corrao
• Maura Crawshaw, OD
• Katelyn E Darrenkamp, MSOTR/L

• Registered Nurse in Willow Street, PA
• Providers in Willow Street, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.