Individual provider Active NPI

Laurie Anne Preno, PAC

  • Medical Physician Assistant
  • Scranton, PA
National Provider Identifier
1558799288
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA056506 Issued in PA
Practice address
2232 Pittston Ave
Scranton, PA 18505-4556
Phone
(570) 969-6327
NPI assigned
Oct 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA056506 PA Primary

Addresses

Primary practice location

2232 Pittston Ave
Scranton, PA 18505-4556

Mailing address

2232 Pittston Ave
Scranton, PA 18505-4556
Phone (570) 969-6327

Other names 1

  • Laurie Anne Donovan Former name

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
I20140102000418 PA Practitioner - Physician Assistant 6406084136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

128 W Market St
Scranton, PA 18508-1948
Phone (570) 347-1177

2232 Pittston Ave
Scranton, PA 18505-4556
Phone (570) 969-6327

Hospital & facility affiliations

  • Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA056506PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Mar 14, 2015 Accepting new patients
Geisinger Clinic CurrentSince Mar 14, 2015 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

407 3rd Ave
Jessup, PA 18434
Phone (570) 383-7922

435 Scranton Carbondale Hwy
Scranton, PA 18508
Phone (570) 343-4334

2232 Pittston Ave
Scranton, PA 18505
Phone (570) 969-1669

Interoperability endpoints

  • Direct secure messaging: lpreno@primemed.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1558799288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 PITTSTON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185054556",
            "telephone_number": "570-969-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 PITTSTON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185054556",
            "telephone_number": "570-969-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENO",
        "first_name": "LAURIE",
        "middle_name": "ANNE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "DONOVAN",
            "middle_name": "ANNE",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.