Individual provider Active NPI

Juan Carlo Salvania, CRNP

  • Nurse Practitioner
  • Wilkes Barre, PA
National Provider Identifier
1538805809
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP024967 Issued in PA
Practice address
545 N River St Ste 240
Wilkes Barre, PA 18702-2643
Phone
(570) 706-2620
NPI assigned
May 10, 2022
Last updated
May 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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 SP024967 PA Primary

Addresses

Primary practice location

545 N River St Ste 240
Wilkes Barre, PA 18702-2643

Mailing address

193 Kingswood Dr
Dallas, PA 18612-1432
Phone (732) 632-7529

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
I20221004002730 PA Practitioner - Nurse Practitioner 3971989609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Commonwealth Pain and Wellness Center LLCGroup PAC ID 9234557968, 2 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

468 Northampton St
Edwardsville, PA 18704-4566
Phone (917) 495-6239

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.57 of 100Reported as individual
Quality
63.05
Improvement activities
40
Cost
70.59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain and Wellness Center LLC CurrentSince May 1, 2023 Accepting new patients
Wound Healing Solutions Pennsylvania and Delaware LLC Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients

Locations

600 Clements Bridge Rd
Barrington, NJ 08007
Phone (609) 268-5517

110 Fredonia Rd
Greenville, PA 16125
Phone (724) 588-8090

468 Northampton St
Kingston, PA 18704
Phone (570) 552-4000

395 Middle Rd
Nanticoke, PA 18634
Phone (570) 735-2973

2630 Woodland Rd
Roslyn, PA 19001
Phone (215) 313-9358

Interoperability endpoints

  • Direct secure messaging: juan.salvania.1@28784.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1538805809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 KINGSWOOD DR",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121432",
            "telephone_number": "732-632-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N RIVER ST STE 240",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022643",
            "telephone_number": "570-706-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVANIA",
        "first_name": "JUAN CARLO",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP024967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.