Individual provider Active NPI

Jenny Sparling, CRNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Troy, PA
National Provider Identifier
1417680315
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP025908 Issued in PA
Practice address
45 Mud Creek Rd
Troy, PA 16947-9529
Phone
(570) 297-3746
NPI assigned
Jul 7, 2022
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN657375 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP025908 PA Primary

Addresses

Primary practice location

45 Mud Creek Rd
Troy, PA 16947-9529

Mailing address

45 Mud Creek Rd
Troy, PA 16947-9529
Phone (570) 297-3746

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
I20221018001622 PA Practitioner - Nurse Practitioner 9931575834 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
Group practices

Practice addresses (Care Compare)

45 Mud Creek Rd
Troy, PA 16947-9529
Phone (570) 297-3746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN657375PAMDRegistered Nurse
SP025908PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Penn Comprehensive Health Services CurrentSince Aug 29, 2022 Accepting new patients
North Penn Comprehensive Health Services Registered Nurse Current Accepting new patients
North Penn Comprehensive Health Services CurrentSince Aug 29, 2022 Accepting new patients

Locations

40 W Wellsboro St
Mansfield, PA 16933
Phone (570) 662-1945

45 Mud Creek Rd
Troy, PA 16947
Phone (570) 297-3746

7 Water St
Wellsboro, PA 16901
Phone (570) 724-1010

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, 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": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1417680315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MUD CREEK RD",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169479529",
            "telephone_number": "570-297-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MUD CREEK RD",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169479529",
            "telephone_number": "570-297-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARLING",
        "first_name": "JENNY",
        "credential": "CRNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN657375",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP025908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, PA

Sources for this page

Verify at the official NPI Registry.