Individual provider Active NPI

Laura Crilley, FNP

  • Family Nurse Practitioner
  • Wellsboro, PA
National Provider Identifier
1508454851
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023037 Issued in PA
Practice address
110 Plaza LN
Wellsboro, PA 16901-1773
Phone
(570) 724-4241
NPI assigned
Jan 4, 2021
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN617516 PA
Family Nurse Practitioner 363LF0000X SP023037 PA Primary

Addresses

Primary practice location

110 Plaza LN
Wellsboro, PA 16901-1773

Mailing address

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lcrilley165004@direct-guthrie.org Direct

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
I20210823003301 PA Practitioner - Nurse Practitioner 9537564919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF Physiatry Services PA PLLCGroup PAC ID 4385163849, 9 clinicians

Practice addresses (Care Compare)

123 S Broad St
FL 15
Philadelphia, PA 19109-1029
Phone (877) 544-4446

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN617516PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince May 21, 2021 Accepting new patients
Geisinger Clinic CurrentSince Sep 16, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Geisinger Clinic CurrentSince Sep 16, 2024 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince May 21, 2021 Accepting new patients
SNF Physiatry Services PA PLLC CurrentSince Jan 22, 2026 Accepting new patients

Locations

185 Route 70
Ste 306
Toms River, NJ 08755

100 N Academy Ave
Danville, PA 17822

123 S Broad St
Fl 15
Philadelphia, PA 19109
Phone (484) 862-5123

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

110 Plaza Ln
Wellsboro, PA 16901
Phone (570) 724-4241

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Interoperability endpoints

  • Direct secure messaging: lcrilley165004@direct-guthrie.org

Organizations & group practices 7

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": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1508454851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PLAZA LN",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011773",
            "telephone_number": "570-724-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRILLEY",
        "first_name": "LAURA",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "RN617516",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcrilley165004@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "110 Plaza Ln",
            "city": "Wellsboro",
            "state": "PA",
            "country_code": "US",
            "postal_code": "169011773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wellsboro, PA

Sources for this page

Verify at the official NPI Registry.