Active NPI
Brianna Scancarella, PMHNP, RN
- Psychiatric/Mental Health Nurse Practitioner
- Sparta, NJ
National Provider Identifier
1548643430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ00659400
- Practice address
- 55 Skyline Dr
Sparta, NJ 07871-3434 - Phone
- (973) 435-6331
- Fax
- (973) 435-6652
- NPI assigned
- Jul 9, 2015
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00659400 | NJ | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NR18605800 | NJ |
Addresses
Primary practice location
55 Skyline Dr
Sparta, NJ 07871-3434
Mailing address
130 Powerville Rd
Boonton, NJ 07005-8705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548643430 | Other | NONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00659400 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 26NR18605800 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Services - Saint Clare'S LLC | Single Specialty | Current | Accepting new patients |
| Prime Healthcare Services - Saint Clare'S LLC | Current | Accepting new patients |
Locations
130 Powerville Rd
Boonton Twp, NJ 07005
Phone (973) 316-1800
25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000
Interoperability endpoints
- brianna.scancarella.p1@direct.cfg.nextgenshare.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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Denville, NJ
- NPI 1497134274
Single Specialty
-
- Psychiatric Hospital Unit
- Boonton Township, NJ
- NPI 1902286172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1548643430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 POWERVILLE RD",
"city": "BOONTON",
"state": "NJ",
"postal_code": "070058705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 SKYLINE DR",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078713434",
"telephone_number": "973-435-6331",
"fax_number": "973-435-6652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCANCARELLA",
"first_name": "BRIANNA",
"credential": "PMHNP, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-09",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ00659400",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NR18605800",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "1548643430",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.