Active NPI
Ryan Seltzer, CRNP
- Nurse Practitioner
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP017861
- Practice address
- 575 N River St
Wilkes Barre, PA 18764-5628 - Phone
- (570) 552-8800
- NPI assigned
- Jun 12, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP017861 | PA | Primary |
Addresses
Primary practice location
575 N River St
Wilkes Barre, PA 18764-5628
Mailing address
624 Tioga Ave
Kingston, PA 18704-5628
Phone (570) 472-5554
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ryan.seltzer.2@21771.direct.athenahealth.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
190 Welles St
Forty Fort, PA 18704-4968
Phone (570) 288-0400
4 E Main St
Nanticoke, PA 18634-1602
Phone (570) 735-7474
575 N River St
Wilkes Barre, PA 18702-2634
Phone (570) 552-8938
Hospital & facility affiliations
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 |
|---|---|---|---|
| Pennsylvania Physician Services, LLC | Current | Accepting new patients | |
| Commonwealth Physician Network LLC | Current | Accepting new patients | |
| Pennsylvania Physician Services, LLC | Current | Accepting new patients |
Locations
610 Wyoming Ave
#2
Kingston, PA 18704
Phone (570) 714-1032
610 Wyoming Ave
Kingston, PA 18704
Phone (570) 288-5441
4 E Main St
Nanticoke, PA 18634
Phone (570) 258-3939
575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Kingston, PA
- NPI 1003238635
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1497059802
-
- Emergency Medicine Physician
- Scranton, PA
- NPI 1184079105
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1255585303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1417486572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 TIOGA AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045628",
"telephone_number": "570-472-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N RIVER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187645628",
"telephone_number": "570-552-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELTZER",
"first_name": "RYAN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-12",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP017861",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ryan.seltzer.2@21771.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "575 N River St",
"city": "Wilkes Barre",
"state": "PA",
"country_code": "US",
"postal_code": "187645628",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 26, 2021; 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.