Individual provider Active NPI

Emily Way, CRNP

  • Nurse Practitioner
  • Susquehanna, PA
National Provider Identifier
1639546260
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP015295 Issued in PA
Practice address
155 Erie Blvd
Susquehanna, PA 18847-2791
Phone
(570) 853-3577
NPI assigned
Aug 31, 2015
Last updated
May 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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 SP015295 PA Primary

Addresses

Primary practice location

155 Erie Blvd
Susquehanna, PA 18847-2791

Mailing address

956 Crowley Rd
Montrose, PA 18801-8703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL, NY, MT, DC, DE, CA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20170518001561 PA Practitioner - Nurse Practitioner 6507169232 Reassigns benefits to 1 organization
I20220916000441 FL Practitioner - Nurse Practitioner 6507169232 Reassigns benefits to 1 organization
I20230711001247 NY Practitioner - Nurse Practitioner 6507169232 Reassigns benefits to 1 organization
I20240622000432 MT Practitioner - Nurse Practitioner 6507169232 Reassigns benefits to 1 organization
I20241122002222 DC Practitioner - Nurse Practitioner 6507169232 Reassigns benefits to 1 organization
I20250128001005 DE Practitioner - Nurse Practitioner 6507169232 Reassigns benefits to 1 organization
I20260218003627 CA Practitioner - Nurse Practitioner 6507169232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ophelia Medical Group FL PAGroup PAC ID 7810398534, 103 clinicians
Ophelia Medical Group Ca PCGroup PAC ID 5294126587, 4 clinicians

Practice addresses (Care Compare)

Helena, MT 59601
Phone (215) 585-2144

161 Cecil B Moore Ave
Apt 204
Philadelphia, PA 19122-3243
Phone (215) 585-2144

1638 R St NW
Suite 214
Washington, DC 20009-6480
Phone (215) 585-2144

18 E 41St St
FL 14
New York, NY 10017-6244
Phone (215) 585-2144

222 Delaware St
Suite 213
Historic New Castle, DE 19720-4855
Phone (215) 585-2144

6920 Miramar Rd
Suite 329
San Diego, CA 92121-2642
Phone (215) 585-2144

801 W Bay Dr
Suite 408
Largo, FL 33770-3220
Phone (215) 585-2144

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ophelia Medical Group, P.C. CurrentSince Feb 7, 2022 Accepting new patients
Ophelia Medical Group Ca PC CurrentSince Feb 3, 2026 Accepting new patients
Ophelia Medical Group Ny, P.C. PastSince May 12, 2024 Accepting new patients

Locations

6920 Miramar Rd
Ste 329
San Diego, CA 92121

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

Organizations & group practices 4

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1639546260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 CROWLEY RD",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "188018703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ERIE BLVD",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188472791",
            "telephone_number": "570-853-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAY",
        "first_name": "EMILY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP015295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Susquehanna, PA

Sources for this page

Verify at the official NPI Registry.