Active NPI
Nancy Jean Bodman-Goy, CRNP
- Gerontology Nurse Practitioner
- Wilkes-Barre, PA
National Provider Identifier
1376559153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SP009237
- Practice address
- 150 Mundy Street
Wilkes-Barre, PA 18702 - Phone
- (570) 824-0930
- Fax
- (570) 824-7755
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP009237 | PA | Primary |
Addresses
Primary practice location
150 Mundy Street
Wilkes-Barre, PA 18702
Mailing address
150 Mundy St
Wilkes Barre, PA 18702-6830
Phone (570) 824-0930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103103381-0001 | Medicaid | PA |
Other names 1
- Mrs. Nancy Jean Defranco
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070321000401 | PA | Practitioner - Nurse Practitioner | 9931202488 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Mundy St
Wilkes Barre, PA 18702-6830
Phone (570) 824-0930
Hospital & facility affiliations
- Wilkes-Barre General Hospital
- Geisinger Wyoming Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.17 of 100
- Quality
- 78.34
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Rehabilitation Associates, PC | Current | Accepting new patients |
Locations
395 Middle Rd
Nanticoke, PA 18634
Phone (570) 735-2973
5 Morgan Hwy
Ste 4
Scranton, PA 18508
Phone (570) 344-3788
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
150 Mundy St
Wilkes Barre Township, PA 18702
Phone (570) 824-0930
Interoperability endpoints
- ngoy@nerehab.medentdirect.com
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Scranton, PA
- NPI 1104878412
PA
Hospital & facility affiliations 22
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Diagnostic Radiology Physician
- Pittston, PA
- NPI 1104292960
Hospital
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1174822068
Hospital
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1275620585
Hospital
-
- General Acute Care Hospital
- Pittston, PA
- NPI 1316692585
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1376559153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MUNDY ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187026830",
"telephone_number": "570-824-0930",
"fax_number": "570-824-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MUNDY STREET",
"city": "WILKES-BARRE",
"state": "PA",
"postal_code": "18702",
"telephone_number": "570-824-0930",
"fax_number": "570-824-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODMAN-GOY",
"first_name": "NANCY",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP009237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103103381-0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "DEFRANCO",
"middle_name": "JEAN",
"prefix": "MRS.",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wilkes-Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.