Individual provider Active NPI

Tricia L. Vermilya, CRNP

  • Family Nurse Practitioner
  • East Stroudsburg, PA
National Provider Identifier
1699052225
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011751 Issued in PA
Practice address
200 E Brown St
Immediate Care Center
East Stroudsburg, PA 18301-3006
Phone
(570) 476-3700
Fax
(570) 476-3637
NPI assigned
Nov 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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 SP011751 PA Primary

Addresses

Primary practice location

200 E Brown St
Immediate Care Center
East Stroudsburg, PA 18301-3006

Mailing address

4801 Saucon Creek Rd
Ste 110
Center Valley, PA 18034-9068
Phone (570) 420-4951

Other names 1

  • Tricia L. Cruts Former name

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
I20111228000280 PA Practitioner - Nurse Practitioner 6608042478 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Feb 1, 2020 Accepting new patients
Pennsylvania Pain Specialists, P.C. CurrentSince Nov 1, 2018 Accepting new patients
Compassionate Care Hospice of Northwestern Pennsylvania, LLC PastSince Dec 22, 2015 Accepting new patients

Locations

780 N Krocks Rd
Ste 101B
Allentown, PA 18106
Phone (610) 365-3354

163 N Commerce Way
Bethlehem, PA 18017
Phone (610) 867-7246

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

510 E Gay St
West Chester, PA 19380
Phone (302) 235-8808

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1699052225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 SAUCON CREEK RD",
            "address_2": "STE 110",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180349068",
            "telephone_number": "570-420-4951",
            "fax_number": "570-476-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E BROWN ST",
            "address_2": "IMMEDIATE CARE CENTER",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013006",
            "telephone_number": "570-476-3700",
            "fax_number": "570-476-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILYA",
        "first_name": "TRICIA",
        "middle_name": "L.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "CRUTS",
            "middle_name": "L.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.