Active NPI
Frances McGlynn, CRNP
- Nurse Practitioner
- Dallas, PA
National Provider Identifier
1487767430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- VP000548B
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4212503 | Other | PA | HIGHMARK 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| VP000548B | PA | MD | Nurse 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.