Active NPI
Hydracore Wellness LLC
- Nurse Practitioner
- Hegins, PA
National Provider Identifier
1669323739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- HYDRACORE WELLNESS LLC
- Practice address
- 674 East Main Street
Hegins, PA 17938 - Phone
- (570) 294-6725
- NPI assigned
- Feb 5, 2026
- Last updated
- Feb 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Madison Maurer, CRNP
- Title
- Owner
- Phone
- (570) 294-6725
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
674 East Main Street
Hegins, PA 17938
Mailing address
283 Schwenks Rd
Hegins, PA 17938-9701
Phone (570) 294-6725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770249600000",
"number": "1669323739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "283 SCHWENKS RD",
"city": "HEGINS",
"state": "PA",
"postal_code": "179389701",
"telephone_number": "570-294-6725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "674 EAST MAIN STREET",
"city": "HEGINS",
"state": "PA",
"postal_code": "17938",
"telephone_number": "570-294-6725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HYDRACORE WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-05",
"last_updated": "2026-02-05",
"certification_date": "2026-02-03",
"status": "A",
"authorized_official_last_name": "MAURER",
"authorized_official_first_name": "MADISON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-294-6725",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hegins, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.