Individual provider Active NPI

John W Rosencrans, N.P.

  • Family Nurse Practitioner
  • Kingston, PA
National Provider Identifier
1659477230
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TP005021B Issued in PA
Practice address
200 2ND Ave
Kingston, PA 18704-5722
Phone
(570) 288-9315
NPI assigned
Sep 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TP005021B PA Primary

Addresses

Primary practice location

200 2ND Ave
Kingston, PA 18704-5722

Mailing address

395 Osceola Ave
Kingston, PA 18704-5118
Phone (570) 288-1258

Other identifiers 2

IdentifierTypeStateIssuer
P00185871OtherPARR MEDICARE
R01561461OtherPABLUE SHIELD

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
I20040609001013 PA Practitioner - Nurse Practitioner 3678481371 Reassigns benefits to 2 organizations
Practice locations: Hanover Township, PA; Kingston, PA; Nanticoke, PA; Taylor, PA; Wilkes Barre, PA; Dunmore, PA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

395 Osceola Ave
Kingston, PA 18704-5118
Phone (570) 288-1258

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John W Rosencrans CRNP, PC Family CurrentSince Dec 17, 2012 Accepting new patients
Geisinger Clinic CurrentSince Dec 16, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Dec 16, 2024 Accepting new patients
Midwest Physician Services PC Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

100 William St
Dunmore, PA 18510
Phone (570) 558-2400

1548 Sans Souci Pkwy
Hanover Township, PA 18706
Phone (570) 825-8725

200 2nd Ave
Kingston, PA 18704
Phone (570) 288-9315

499 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-2161

615 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-2013

700 Northampton St
Kingston, PA 18704
Phone (570) 283-2336

702 3rd Ave
Kingston, PA 18704
Phone (570) 283-5848

12 Kirby Ave
Mountain Top, PA 18707
Phone (570) 474-5978

128 E Main St
Nanticoke, PA 18634
Phone (570) 258-1304

395 Middle Rd
Nanticoke, PA 18634
Phone (570) 735-2973

500 W Hospital St
Taylor, PA 18517
Phone (570) 483-8450

80 E Northampton St
Wilkes Barre, PA 18701
Phone (570) 826-1031

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659477230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 OSCEOLA AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045118",
            "telephone_number": "570-288-1258",
            "fax_number": "570-714-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 2ND AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045722",
            "telephone_number": "570-288-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENCRANS",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP005021B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00185871",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "R01561461",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.