Individual provider Active NPI

Carolina Walker, CRNP

  • Family Nurse Practitioner
  • East Stroudsburg, PA
National Provider Identifier
1700354537
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019578 Issued in PA
Practice address
600 Plaza CT Ste C
East Stroudsburg, PA 18301-8263
Phone
(570) 517-3772
Fax
(570) 421-7091
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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 SP019578 PA Primary

Addresses

Primary practice location

600 Plaza CT Ste C
East Stroudsburg, PA 18301-8263

Mailing address

4111 Hummingbird LN
Bethlehem, PA 18020-7732
Phone (646) 306-8507

Other practice location 1

120 Burrus Blvd Ste 120
Brodheadsville, PA 18322-7812
Phone (570) 534-4712

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
I20190109000171 PA Practitioner - Nurse Practitioner 5799021978 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lackawanna Medical Group PCGroup PAC ID 6800870882, 4 clinicians

Practice addresses (Care Compare)

201 Smallacombe Dr
Scranton, PA 18508-2616
Phone (570) 961-0171

Hospital & facility affiliations

  • Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019578PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lackawanna Medical Group PC Family CurrentSince Feb 28, 2025 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Feb 1, 2023 Accepting new patients
Mountain Valley Orthopedics, P.C. CurrentSince Dec 18, 2018 Accepting new patients

Locations

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

120 Burrus Blvd
Ste 120
Brodheadsville, PA 18322
Phone (570) 421-7020

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

600 Plaza Ct
Ste C
East Stroudsburg, PA 18301
Phone (570) 421-7020

173 Levittown Pkwy
Ste 24A
Levittown, PA 19055
Phone (215) 648-9000

934 Montgomery Ave
Penn Valley, PA 19072
Phone (484) 270-8600

201 Smallacombe Dr
Scranton, PA 18508
Phone (570) 961-0171

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.

Hospital & facility affiliations 2

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": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1700354537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 HUMMINGBIRD LN",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180207732",
            "telephone_number": "646-306-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PLAZA CT STE C",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018263",
            "telephone_number": "570-517-3772",
            "fax_number": "570-421-7091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Burrus Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Brodheadsville",
            "state": "PA",
            "postal_code": "183227812",
            "country_code": "US",
            "telephone_number": "570-534-4712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CAROLINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.