Individual provider Active NPI

Melissa Hosni, CRNP

  • Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1356047567
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP027662 Issued in PA
Practice address
717 N Jerome St
Allentown, PA 18109-1926
Phone
(610) 570-3738
NPI assigned
Jan 31, 2023
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP027662 PA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022066376 PA

Addresses

Primary practice location

717 N Jerome St
Allentown, PA 18109-1926

Mailing address

717 N Jerome St
Allentown, PA 18109-1926
Phone (610) 570-3738

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
I20231009002137 PA Practitioner - Nurse Practitioner 4981059128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleanslate Medical Group of Pennsylvania LLCGroup PAC ID 8426334400, 20 clinicians

Practice addresses (Care Compare)

100 N Wilkes Barre Blvd
Suite 103
Wilkes Barre, PA 18702-5240
Phone (413) 584-2173

1020 W Lackawanna Ave
Scranton, PA 18504-2052
Phone (413) 584-2173

940 N New St
Suite 140
Bethlehem, PA 18018-2756
Phone (484) 893-1482

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027662PAMDNurse Practitioner
2022066376PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleanslate Medical Group of Pennsylvania LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

940 N New St
Ste 140
Bethlehem, PA 18018
Phone (484) 893-1482

1020 W Lackawanna Ave
Scranton, PA 18504
Phone (570) 348-2280

8 Cadillac Dr
Ste 180
Brentwood, TN 37027

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1356047567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N JEROME ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181091926",
            "telephone_number": "610-570-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N JEROME ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181091926",
            "telephone_number": "610-570-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSNI",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP027662",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "2022066376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.