Individual provider Active NPI

Jennifer Ann Sparks

  • Nurse Practitioner
  • Stroudsburg, PA
National Provider Identifier
1679240691
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP024806 Issued in PA
Practice address
100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone
(272) 212-2300
NPI assigned
Aug 26, 2021
Last updated
Jul 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP024806 PA Primary
Critical Care Medicine Registered Nurse 163WC0200X RN678992 PA

Addresses

Primary practice location

100 St Lukes LN
Stroudsburg, PA 18360-6217

Mailing address

150 Old Kettle CT
Stroudsburg, PA 18360-7145
Phone (570) 856-0801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220323001784 PA Practitioner - Nurse Practitioner 0749675015 Reassigns benefits to 2 organizations
I20240516003315 NJ Practitioner - Nurse Practitioner 0749675015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

801 Ostrm St
Bethlehem, PA 18015-1000
Phone (610) 954-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN678992PAMDCritical Care Medicine Registered Nurse
SP024806PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Warren Physician Group, PC CurrentSince Apr 29, 2024 Accepting new patients
Gslpg, Inc CurrentSince Nov 10, 2021 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Apr 29, 2024 Accepting new patients
St. Luke's Physician Group, Inc CurrentSince Nov 10, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Nov 10, 2021 Accepting new patients

Locations

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

100 St Lukes Ln
Stroudsburg, PA 18360
Phone (272) 212-1000

Interoperability endpoints

  • Direct secure messaging: jennifer.sparks@slpg.direct-sluhn.org

Organizations & group practices 7

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 1

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1679240691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OLD KETTLE CT",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607145",
            "telephone_number": "570-856-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ST LUKES LN",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606217",
            "telephone_number": "272-212-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP024806",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "PA",
            "license": "RN678992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.