Active NPI
Mary Angela Kearns, CRNA, CRNP
- Certified Registered Nurse Anesthetist
- Bethlehem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1639404221
- Practice address
- 801 Ostrum St
Bethlehem, PA 18015-1000 - Phone
- (866) 785-8537
- NPI assigned
- Oct 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN504701L | PA | |
| Nurse Practitioner | 363L00000X | SP010523 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 1639404221 | PA | Primary |
Addresses
Primary practice location
801 Ostrum St
Bethlehem, PA 18015-1000
Mailing address
PO Box 5520
Credentials Dept
Bethlehem, PA 18015-0520
Other practice location 1
100 N Academy Ave
Danville, PA 17822-0027
Phone (570) 808-7300
Other names 1
- Mary Wilkinson
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 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144
100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (610) 954-5810
1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone (570) 826-7300
1201 Oak St
Pittston, PA 18640-3798
Phone (570) 808-9800
360 W Riddle St
Coaldale, PA 18218-1027
Phone (610) 954-5810
500 St Lukes Dr
Lehighton, PA 18235-5000
Phone (866) 785-8537
801 Ostrum St
Bethlehem, PA 18015-1065
Phone (610) 954-5810
Hospital & facility affiliations
- St Luke'S Hospital - Monroe Campus
- St Luke'S Hospital - Carbon Campus
- St Luke'S Miners Memorial Hospital
- Geisinger Wyoming Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN504701L | PA | MD | Nurse Practitioner |
| SP010523 | PA | MD | Nurse Practitioner |
| 1639404221 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Nurse Practitioner | Current | Accepting new patients |
| Anesthesia Specialists of Bethlehem, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Bethlehem, PA
- NPI 1851349302
Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Danville, PA
- NPI 1255382784
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Family Medicine Physician
- Williamsport, PA
- NPI 1619482536
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Diagnostic Radiology Physician
- Pittston, PA
- NPI 1104292960
Hospital
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1174822068
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1275620585
-
- General Acute Care Hospital
- Pittston, PA
- NPI 1316692585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1639404221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5520",
"address_2": "CREDENTIALS DEPT",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180150520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 OSTRUM ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151000",
"telephone_number": "866-785-8537"
}
],
"practiceLocations": [
{
"address_1": "100 N Academy Ave",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "PA",
"postal_code": "178220027",
"country_code": "US",
"telephone_number": "570-808-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEARNS",
"first_name": "MARY",
"middle_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "CRNA, CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-15",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "RN504701L",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP010523",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "1639404221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "WILKINSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.