NPIMap

Individual provider Active NPI

Kristopher Mead, CRNP

  • Nurse Practitioner
  • Wilkes Barre, PA
National Provider Identifier
1639692429
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP017668 Issued in PA
Practice address
1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone
(570) 808-7762
NPI assigned
Jul 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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 SP017668 PA Primary

Addresses

Primary practice location

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170927000990 PA Practitioner - Nurse Practitioner 7517231780 Reassigns benefits to 2 organizations
I20260609004677 FL Practitioner - Nurse Practitioner 7517231780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

1000 E Mountain Dr
Wilkes Barre, PA 18711-0001
Phone (570) 826-7850

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017668PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Sep 1, 2017 Accepting new patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Pennsylvania Physician Services, LLC CurrentSince Apr 25, 2022 Accepting new patients
Pennsylvania Physician Services, LLC Current Accepting new patients
Pennsylvania Physician Services, LLC CurrentSince Apr 25, 2022 Accepting new patients
Geisinger Clinic CurrentSince Sep 1, 2017 Accepting new patients
Geisinger Clinic Past Accepting new patients
Geisinger-HM Joint Venture, LLC Nurse Practitioner Past Accepting new patients

Locations

65 Briar Creek Plz
Berwick, PA 18603
Phone (570) 802-5590

425 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-2474

549 Fair St
Bloomsburg, PA 17815
Phone (570) 387-2100

114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178

100 N Academy Ave
Danville, PA 17822

175 Northumberland St
Danville, PA 17821
Phone (570) 284-4575

1020 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100

560 Pierce St
Kingston, PA 18704
Phone (570) 283-2161

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

42 N Main St
Pittston, PA 18640
Phone (570) 602-5610

1201 Oak St
Pittston, PA 18640
Phone (570) 808-9800

529 Terry Reiley Way
Pottsville, PA 17901
Phone (570) 624-4120

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

631 Northern Blvd
South Abington Township, PA 18411
Phone (570) 340-6920

1020 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2290

1630 N Atherton St
State College, PA 16803
Phone (814) 238-1279

1151 N 4th St
Sunbury, PA 17801
Phone (570) 286-6773

10 Trieble Dr
Tunkhannock, PA 18657
Phone (570) 836-2273

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

35 S Mountain Blvd
Wilkes Barre, PA 18707
Phone (570) 474-5072

25 Church St
Wilkes Barre, PA 18702
Phone (570) 340-5800

Interoperability endpoints

  • Direct secure messaging: kmead150226@direct.geisinger.edu
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 9

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1639692429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MOUNTAIN BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110027",
            "telephone_number": "570-808-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "KRISTOPHER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.