Sue Lynn McCormick, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP022726 Issued in PA

Practice address

82 Tunnel Rd
Pottsville, PA 17901-3869

Phone

(570) 622-5455

NPI assigned

Dec 14, 2020

Last updated

Dec 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Integrated Medical Group P CGroup PAC ID 1355247180, 105 clinicians

Img Nursing Home Care, P.C.Group PAC ID 8628491735, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
• Geisinger St. Luke's Hospital Hospital, Orwigsburg, PA, CCN 390332

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Img Nursing Home Care, P.C.

  • Family Medicine Physician
  • Pottsville, PA
  • NPI 1144843897
  Medicare reassignment Care Compare group NPD
• Integrated Medical Group P C

  • Family Medicine Physician
  • Pottsville, PA
  • NPI 1336102268
  Medicare reassignment Care Compare group NPD
• Integrated Medical Group, P.C.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Reading, PA
  • NPI 1881341303
  NPD
• Integrated Medical Group

  • Internal Medicine Physician
  • Pottsville, PA
  • NPI 1366406761
  NPD (past)

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

• GSL Hospital

  • General Acute Care Hospital
  • Orwigsburg, PA
  • NPI 1265096069
  Care Compare affiliation
• Lehigh Valley Hospital - Schuylkill

  dba Lehigh Valley Hospital Schuylkill S Jackson Street

  • Rural Acute Care Hospital
  • Pottsville, PA
  • NPI 1235138405
  Care Compare affiliation
• Schuylkill Medical Center - East Norweigan Street

  • General Acute Care Hospital
  • Pottsville, PA
  • NPI 1427050376
  Care Compare affiliation

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1699361642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MCCORMICK DR",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179219055",
            "telephone_number": "570-205-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 TUNNEL RD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013869",
            "telephone_number": "570-622-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "SUE",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Matz, M.D.
• Gabrielle Elizabeth Maxwell, PA-C
• Mallory McBreen, COTA
• Angela Ann McCabe, OTRL
• Kathy E McCaw, MA
• Leeann McDermott, CRNP
• Lynne McGovern
• Carol McMullin
• Katey J. McMullin, CRNP
• Connor McNamara, PT, DPT

• Family Nurse Practitioner in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.