Individual provider Active NPI

Beverly Barone Tomasetti, NP

  • Adult Health Nurse Practitioner
  • Scranton, PA
National Provider Identifier
1700901170
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
VP005863B Issued in PA
Practice address
225 Penn Ave
Scranton, PA 18503-1921
Phone
(570) 342-7864
Fax
(570) 342-7119
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X VP005863B PA Primary
Clinical Nurse Specialist 364S00000X VP005863B PA

Addresses

Primary practice location

225 Penn Ave
Scranton, PA 18503-1921

Mailing address

225 Penn Ave
Scranton, PA 18503-1921
Phone (570) 342-7864

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
I20050629000420 PA Practitioner - Nurse Practitioner 3072559186 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
VP005863BPAMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Medix PC CurrentSince Sep 8, 2009 Accepting new patients
Wayne Memorial Hospital CurrentSince Mar 18, 2024 Accepting new patients
Wayne Memorial Hospital CurrentSince Mar 18, 2024 Accepting new patients
Pathology Associates of NE PA LTD Past Accepting new patients
Vascular Diagnostic Center PC PastSince Sep 8, 2009 Accepting new patients

Locations

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

1400 Main St
Peckville, PA 18452
Phone (570) 307-7600

5 Morgan Hwy
Ste 7
Scranton, PA 18508
Phone (570) 342-7864

300 Lackawanna Ave
Unit 200
Scranton, PA 18503
Phone (570) 342-7864

Interoperability endpoints

  • Direct secure messaging: beverly.tomasetti.crnp.1@30200.direct.athenahealth.com

Organizations & group practices 5

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1700901170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PENN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031921",
            "telephone_number": "570-342-7864",
            "fax_number": "570-342-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PENN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031921",
            "telephone_number": "570-342-7864",
            "fax_number": "570-342-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASETTI",
        "first_name": "BEVERLY",
        "middle_name": "BARONE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "VP005863B",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "PA",
            "license": "VP005863B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.