Organization Active NPI

John W Rosencrans CRNP, PC

  • Family Nurse Practitioner
  • Kingston, PA
National Provider Identifier
1346589801
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TP005021B Issued in PA
Legal business name
JOHN W ROSENCRANS CRNP, PC
Practice address
395 Osceola Ave
Kingston, PA 18704-5118
Phone
(570) 288-1258
NPI assigned
Feb 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
John Rosencrans, CRNPNPI 1659477230
Title
President
Phone
(570) 288-1258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X TP005021B PA Primary

Addresses

Primary practice location

395 Osceola Ave
Kingston, PA 18704-5118

Mailing address

395 Osceola Ave
Kingston, PA 18704-5118
Phone (570) 288-1258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130611000102 PA Part B Supplier - Clinic/Group Practice 5799924452 Receives reassigned benefits from 1 practitioner
Practice locations: Kingston, PA; Wilkes Barre, PA; Taylor, PA; Nanticoke, PA; Hanover Township, PA; Dunmore, PA

National Provider Directory

National Provider Directory

Locations

700 Northampton St
Kingston, PA 18704
Phone (570) 283-2336

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1346589801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 OSCEOLA AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045118",
            "telephone_number": "570-288-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 OSCEOLA AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045118",
            "telephone_number": "570-288-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W ROSENCRANS CRNP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "ROSENCRANS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-288-1258",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP005021B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.