Individual provider Active NPI

Emma Niznik

  • Family Nurse Practitioner
  • Pittston, PA
National Provider Identifier
1386461978
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030575 Issued in PA
Practice address
100 Keystone Ave Ste 108
Pittston, PA 18640-6104
Phone
(570) 288-6616
NPI assigned
Sep 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP030575 PA
Family Nurse Practitioner 363LF0000X SP030575 PA Primary

Addresses

Primary practice location

100 Keystone Ave Ste 108
Pittston, PA 18640-6104

Mailing address

100 Keystone Ave Ste 108
Pittston, PA 18640-6104

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
I20241031001393 PA Practitioner - Nurse Practitioner 0446783278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

3050 Hamilton Blvd
Suite 200
Allentown, PA 18103-3691
Phone (610) 435-9575

Hospital & facility affiliations

  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP030575PAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC CurrentSince Nov 1, 2024 Accepting new patients
Regional Women'S Health Group, LLC Past Accepting new patients

Locations

3050 Hamilton Blvd
Ste 200
Allentown, PA 18103
Phone (610) 435-9575

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

100 Keystone Ave
Ste 108
Pittston, PA 18640
Phone (570) 288-6616

545 N River St
Ste 100
Wilkes Barre, PA 18702
Phone (570) 208-8800

Interoperability endpoints

  • Direct secure messaging: emma.niznik@axia.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1386461978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KEYSTONE AVE STE 108",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186406104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KEYSTONE AVE STE 108",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186406104",
            "telephone_number": "570-288-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZNIK",
        "first_name": "EMMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP030575",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittston, PA

Sources for this page

Verify at the official NPI Registry.