Individual provider Active NPI

Herline Raphael

  • Nurse Practitioner
  • Stroudsburg, PA
National Provider Identifier
1326584046
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP017091 Issued in PA
Practice address
104 Skinner Hill Rd
Stroudsburg, PA 18360
Phone
(845) 641-9412
NPI assigned
Jan 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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 SP017091 PA Primary

Addresses

Primary practice location

104 Skinner Hill Rd
Stroudsburg, PA 18360

Mailing address

4178 Blue Mountain Xing
East Stroudsburg, PA 18301-9333
Phone (845) 641-9412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170601000141 PA Practitioner - Nurse Practitioner 4385911080 Reassigns benefits to 6 organizations
I20221123002608 NY Practitioner - Nurse Practitioner 4385911080 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Essential OT PT SLP and Psychology Services PLLCGroup PAC ID 9133486301, 5 clinicians
SNP Direct Paths LLCGroup PAC ID 4486939030, 2 clinicians
NP Family Health Visits and NP Adult Health Visits PLLCGroup PAC ID 8628320306, 3 clinicians
Advanced Inpatient Medicine PCGroup PAC ID 6406995778, 25 clinicians

Practice addresses (Care Compare)

1360 E 86TH St
Brooklyn, NY 11236-5132
Phone (917) 499-8496

16 Deer TRL
Nesquehoning, PA 18240-2114
Phone (954) 249-8694

17 N Plank Rd
Suite 10
Newburgh, NY 12550-2111
Phone (845) 800-9305

3410 Grace Ave
Bronx, NY 10469-2612
Phone (203) 809-9948

601 Park St
Honesdale, PA 18431-1445
Phone (570) 253-8100

63 New Main St
Suite 1
Haverstraw, NY 10927-1859
Phone (845) 641-9413

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Hospitalist Group, LLC CurrentSince May 1, 2024 Accepting new patients
Advanced Inpatient Medicine Transitional Care - Ltcaco LLC CurrentSince Nov 1, 2025 Accepting new patients
Complete SLP, OT, PT & Psychology Services, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Essential OT, PT, SLP & Psychology Services, PLLC CurrentSince Feb 9, 2023 Accepting new patients
Advanced Inpatient Medicine Associates PC CurrentSince Apr 1, 2020 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Apr 10, 2017 Accepting new patients
St. Luke's Physician Group Inc. CurrentSince Apr 10, 2017 Accepting new patients
Ion Oltean Physician PC CurrentSince Dec 18, 2023 Accepting new patients
NP Family Health Visits & NP Adult Health Visits, PLLC CurrentSince Sep 1, 2022 Accepting new patients
Advanced Inpatient Medicine PC CurrentSince Feb 1, 2019 Accepting new patients
NP Visits of New Jersey, LLC CurrentSince Apr 1, 2024 Accepting new patients
Comprehensive OT, PT, SLP & Adult Health NP Services, PLLC CurrentSince Sep 1, 2022 Accepting new patients
SNP Direct Paths LLC CurrentSince Jan 14, 2025 Accepting new patients
Essential Therapy Services of NJ PastSince Aug 1, 2021 Accepting new patients

Locations

100 Enterprise Dr
Ste 301
Rockaway, NJ 07866
Phone (845) 800-9305

22 Robert R Kasin Way
Beacon, NY 12508
Phone (845) 231-5792

63 New Main St
Ste 1
Haverstraw, NY 10927
Phone (845) 290-9131

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

111 Rivers Edge Dr
Matamoras, PA 18336
Phone (570) 491-1010

264 Route 6 and 209
Milford, PA 18337
Phone (570) 491-4121

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

100 St Lukes Ln
Stroudsburg, PA 18360
Phone (272) 212-1000

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

80 E Northampton St
Wilkes Barre, PA 18701
Phone (570) 826-1031

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1326584046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4178 BLUE MOUNTAIN XING",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019333",
            "telephone_number": "845-641-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SKINNER HILL RD",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "18360",
            "telephone_number": "845-641-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "HERLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.