Individual provider Active NPI

Kara Lynn Mohan, CRNP

  • Nurse Practitioner
  • Clarks Green, PA
National Provider Identifier
1437400850
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP012394 Issued in PA
Practice address
102 N Abington Rd
Suite 103
Clarks Green, PA 18411-2300
Phone
(570) 586-0246
Fax
(570) 585-8970
NPI assigned
Sep 25, 2012
Last updated
Sep 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP012394 PA Primary

Addresses

Primary practice location

102 N Abington Rd
Suite 103
Clarks Green, PA 18411-2300

Mailing address

102 N Abington Rd
Suite 103
Clarks Green, PA 18411-2300
Phone (570) 586-0246

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
I20121204000064 PA Practitioner - Nurse Practitioner 2062664774 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Services Hospice LLCGroup PAC ID 3274991187, 2 clinicians

Practice addresses (Care Compare)

100 Abington Executive Park
Clarks Summit, PA 18411-2260
Phone (570) 341-4320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP012394PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Heart Institute, P.C. CurrentSince Aug 30, 2012 Accepting new patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Allied Services Hospice, LLC Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients
Geisinger Clinic CurrentSince Oct 1, 2013 Accepting new patients
Geisinger Clinic CurrentSince Oct 1, 2013 Accepting new patients
Wayne Memorial Hospital Past Accepting new patients

Locations

102 N Abington Rd
Ste 103
Clarks Green, PA 18411
Phone (570) 586-0246

100 Abington Executive Park
Clarks Summit, PA 18411
Phone (570) 348-2911

100 N Academy Ave
Danville, PA 17822

955 Bellefonte Ave
Lock Haven, PA 17745
Phone (570) 748-7714

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

Interoperability endpoints

  • Direct secure messaging: kmohan@nerehab.medentdirect.com

Organizations & group practices 6

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": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1437400850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N ABINGTON RD",
            "address_2": "SUITE 103",
            "city": "CLARKS GREEN",
            "state": "PA",
            "postal_code": "184112300",
            "telephone_number": "570-586-0246",
            "fax_number": "570-585-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N ABINGTON RD",
            "address_2": "SUITE 103",
            "city": "CLARKS GREEN",
            "state": "PA",
            "postal_code": "184112300",
            "telephone_number": "570-586-0246",
            "fax_number": "570-585-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "KARA",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP012394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Green, PA

Sources for this page

Verify at the official NPI Registry.