Carole L. Willson, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP010401 Issued in PA

Practice address

503 Sunset Dr
Olyphant, PA 18447-1323

Phone

(570) 342-7864

NPI assigned

Aug 27, 2009

Last updated

Dec 10, 2014By 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 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carole.willson@direct.sphcc.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Scranton Primary Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Scranton, PA
  • NPI 1801871579
  Medicare reassignment NPD
• Scranton Primary Health Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Scranton, PA
  • NPI 1841709623
  NPD
• Scranton Primary Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Scranton, PA
  • NPI 1801336458
  NPD
• Pathology Associates of NE PA LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dunmore, PA
  • NPI 1528022142
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1346473030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PENN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031921",
            "telephone_number": "570-342-7864",
            "fax_number": "570-207-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 SUNSET DR",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184471323",
            "telephone_number": "570-342-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "CAROLE",
        "middle_name": "L.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visiting Nurse Association and Home Health Maintenance Organization
• Visiting Nurse Association and Home Health Maintenance Organization
• Benjamin Walbert, LMFT
• Lovey Ann Wargo, D.C
• Wayne Memorial Hospital (Wayne Memorial Hospital Physician Specialty Clinic)
• Yusavage Family Chiropractic, P.C.
• Jason Patrick Yusavage, D.C.

• Family Nurse Practitioner in Olyphant, PA
• Providers in Olyphant, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.