Individual provider Active NPI

Wendy G Manetti, CRNP

  • Nurse Practitioner
  • South Abington Township, PA
National Provider Identifier
1326028200
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
TP005804B Issued in PA
Practice address
231 Northern Blvd
Suite 3
South Abington Township, PA 18411-9189
Phone
(570) 587-4113
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X TP005804B PA Primary

Addresses

Primary practice location

231 Northern Blvd
Suite 3
South Abington Township, PA 18411-9189

Mailing address

5 Morgan Hwy
Suite 6
Scranton, PA 18508-2641
Phone (570) 558-7410

Other names 1

  • Wendy Grochowski Former name

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
I20090831000272 PA Practitioner - Nurse Practitioner 2466507249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

231 Northern Blvd
Clarks Summit, PA 18411-9189
Phone (570) 586-4141

790 N Blvd
Clarks Summit, PA 18411-9189
Phone (570) 586-4141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Oct 1, 2014 Accepting new patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Geisinger Clinic Nurse Practitioner CurrentSince Oct 1, 2014 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

407 3rd Ave
Jessup, PA 18434
Phone (570) 383-7922

435 Scranton Carbondale Hwy
Scranton, PA 18508
Phone (570) 343-4334

231 Northern Blvd
South Abington Township, PA 18411
Phone (570) 585-8085

231 Northern Blvd
Ste 6
South Abington Township, PA 18411

231 Northern Blvd
Ste 3
South Abington Township, PA 18411
Phone (570) 587-4113

Interoperability endpoints

  • Direct secure messaging: wmanetti@primemed.medentdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1326028200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MORGAN HWY",
            "address_2": "SUITE 6",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082641",
            "telephone_number": "570-558-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 NORTHERN BLVD",
            "address_2": "SUITE 3",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184119189",
            "telephone_number": "570-587-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANETTI",
        "first_name": "WENDY",
        "middle_name": "G",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP005804B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "GROCHOWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Abington Township, PA

Sources for this page

Verify at the official NPI Registry.