Individual provider Active NPI

Judith Tubbs, CRNP

  • Gerontology Nurse Practitioner
  • Wellsboro, PA
National Provider Identifier
1487130753
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP018941 Issued in PA
Practice address
103 West Ave
Wellsboro, PA 16901-1358
Phone
(570) 724-3744
Fax
(570) 724-2459
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP018941 PA Primary

Addresses

Primary practice location

103 West Ave
Wellsboro, PA 16901-1358

Mailing address

32-36 Central Avenue
Medical Staff Office
Wellsboro, PA 16901
Phone (570) 723-0104

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
I20180731003978 PA Practitioner - Nurse Practitioner 9638427198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc WellsboroGroup PAC ID 5294710414, shared by 4 NPIs, 22 clinicians
Susquehanna Physician ServicesGroup PAC ID 2264336460, shared by 32 NPIs, 611 clinicians

Practice addresses (Care Compare)

103 W Ave
Suite 203 Office of Internal Medicine a de
Wellsboro, PA 16901-1358
Phone (570) 724-3744

32 -36 Central Ave
Wellsboro, PA 16901-1840

416 S Main St
Mansfield, PA 16933-1510

9 Water St
Office of Orthopedics
Wellsboro, PA 16901-1117
Phone (570) 724-2325

Hospital & facility affiliations

  • Upmc Home Healthcare Home health agency, Williamsport, PA, CCN 397006
  • Family Hospice Hospice, Williamsport, PA, CCN 391513
  • Upmc Wellsboro Hospital, Wellsboro, PA, CCN 391316
  • Upmc Cole Hospital, Coudersport, PA, CCN 391313

Merit-based Incentive Payment System (MIPS)

Final score
79.37 of 100Reported as group
Quality
86.43
Promoting interoperability
100
Improvement activities
40
Cost
44.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Wellsboro CurrentSince Jun 9, 2019 Accepting new patients
Upmc Wellsboro CurrentSince Jun 9, 2019 Accepting new patients
Upmc Wellsboro Past Accepting new patients
Ucmg LLC PastSince Mar 11, 2025 Accepting new patients

Locations

103 West Ave
Wellsboro, PA 16901
Phone (570) 724-1010

32-36 Central Ave
Ofc
Wellsboro, PA 16901

9 Water St
Ofc Of
Wellsboro, PA 16901
Phone (570) 724-2325

15 Meade St
Ste L1
Wellsboro, PA 16901
Phone (570) 723-0637

32-36 Central Ave
Wellsboro, PA 16901
Phone (570) 723-0100

Interoperability endpoints

  • Direct secure messaging: judith.tubbs@upmcdirect.com
  • Direct secure messaging: jtubbs254668@upmc.direct-ci.com

Organizations & group practices 4

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 6

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1487130753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32-36 CENTRAL AVENUE",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "16901",
            "telephone_number": "570-723-0104",
            "fax_number": "570-723-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WEST AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011358",
            "telephone_number": "570-724-3744",
            "fax_number": "570-724-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBBS",
        "first_name": "JUDITH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP018941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsboro, PA

Sources for this page

Verify at the official NPI Registry.