Individual provider Active NPI

Frances McGlynn, CRNP

  • Nurse Practitioner
  • Dallas, PA
National Provider Identifier
1487767430
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
VP000548B Issued in PA
Practice address
301 Lake St
Dallas, PA 18612-7752
Phone
(570) 675-2131
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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 RN204480L PA
Nurse Practitioner 363L00000X VP000548B PA Primary

Addresses

Primary practice location

301 Lake St
Dallas, PA 18612-7752

Mailing address

20 Wyoming Ave
Dallas, PA 18612-1528
Phone (570) 881-6022

Other practice location 1

100 Narrows Rd
Plymouth, PA 18651-3222
Phone (570) 719-0763

Other practice location 2

5848 Main Rd
Hunlock Creek, PA 18621-5009
Phone (570) 477-3255

Other practice location 3

200 Lake St
Dallas, PA 18612-1078
Phone (570) 675-9336

Other identifiers 1

IdentifierTypeStateIssuer
4212503OtherPAHIGHMARK BLUE SHIELD

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
I20050524000547 PA Practitioner - Nurse Practitioner 3072555747 Practice locations: Dallas, PA; Hunlock Creek, PA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
VP000548BPAMDNurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1487767430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WYOMING AVE",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121528",
            "telephone_number": "570-881-6022",
            "fax_number": "570-675-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LAKE ST",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186127752",
            "telephone_number": "570-675-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Narrows Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "PA",
            "postal_code": "186513222",
            "country_code": "US",
            "telephone_number": "570-719-0763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5848 Main Rd",
            "address_purpose": "LOCATION",
            "city": "Hunlock Creek",
            "state": "PA",
            "postal_code": "186215009",
            "country_code": "US",
            "telephone_number": "570-477-3255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Lake St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "PA",
            "postal_code": "186121078",
            "country_code": "US",
            "telephone_number": "570-675-9336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGLYNN",
        "first_name": "FRANCES",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN204480L",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "VP000548B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "4212503",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, PA

Sources for this page

Verify at the official NPI Registry.