Active NPI
Nicholas Prosper, PA-C
- Physician Assistant
- Stroudsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 100 St Lukes LN
Stroudsburg, PA 18360-6217 - Phone
- (866) 785-8537
- NPI assigned
- Jun 10, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
100 St Lukes LN
Stroudsburg, PA 18360-6217
Mailing address
516 Jenna Dr
Brodheadsville, PA 18322-7141
Phone (272) 212-4000
Other practice location 1
516 Jenna Dr
Brodheadsville, PA 18322-7141
Phone (272) 212-4000
Other practice location 2
235 E Brown St Ste 302
East Stroudsburg, PA 18301-3013
Phone (272) 212-4000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-2200
100 St Lukes Way
Stroudsburg, PA 18360-6217
Phone (272) 212-1000
235 E Brown St
Stroudsburg, PA 18301-3013
Phone (570) 645-1830
516 Jenna Dr
Brodheadsville, PA 18322-7141
Phone (272) 212-4000
801 Ostrm St
Bethlehem, PA 18015-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc | Past | Accepting new patients |
Locations
516 Jenna Dr
Brodheadsville, PA 18322
Phone (272) 212-4000
235 E Brown St
Ste 302
East Stroudsburg, PA 18301
Phone (272) 212-4000
235 E Brown St
Fl 101
East Stroudsburg, PA 18301
Phone (272) 212-4000
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
1241 Blakeslee Boulevard Dr E
Ste 3
Lehighton, PA 18235
Phone (570) 386-6900
100 St Lukes Ln
Stroudsburg, PA 18360
Phone (272) 212-1000
17 W Broad St
Unit 2
Tamaqua, PA 18252
Phone (570) 668-5650
17 W Broad St
Unit 3
Tamaqua, PA 18252
Phone (570) 668-5650
Interoperability endpoints
- nicholas.prosper@slpg.direct-sluhn.org
Organizations & group practices 4
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.
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
dba St. Luke's Primary Care Orwigsburg
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
dba St. Luke's Pediatric Associates
- Pediatrics Physician
- Bethlehem, PA
- NPI 1578664207
-
- Obstetrics & Gynecology Physician
- Bethlehem, PA
- NPI 1447801535
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Luke's Hospital-Sacred Heart Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1366011413
-
dba St. Luke's Hospital - Anderson Campus
- General Acute Care Hospital
- Easton, PA
- NPI 1376339226
-
dba St. Luke's Hospital-Lehighton Campus
- General Acute Care Hospital
- Lehighton, PA
- NPI 1528737988
-
- General Acute Care Hospital
- Bethlehem, PA
- NPI 1013933175
-
dba St. Luke's Hospital - Allentown Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1548293954
-
dba St. Luke's Partial Hospitalization Program
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
-
- General Acute Care Hospital
- Stroudsburg, PA
- NPI 1396194197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1710617071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 JENNA DR",
"city": "BRODHEADSVILLE",
"state": "PA",
"postal_code": "183227141",
"telephone_number": "272-212-4000"
},
{
"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": "866-785-8537"
}
],
"practiceLocations": [
{
"address_1": "516 Jenna Dr",
"address_purpose": "LOCATION",
"city": "Brodheadsville",
"state": "PA",
"postal_code": "183227141",
"country_code": "US",
"telephone_number": "272-212-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "235 E Brown St Ste 302",
"address_purpose": "LOCATION",
"city": "East Stroudsburg",
"state": "PA",
"postal_code": "183013013",
"country_code": "US",
"telephone_number": "272-212-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROSPER",
"first_name": "NICHOLAS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-10",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stroudsburg, PA
- Private Healthcare Facilities
- Private Home Care Services, Inc.
- Pro-Health Family Medicine LLC (pro- health family medicine)
- Tracie Anne Procanyn, PMHNP
- Professional Hearing Solutions,LLC (Miracle Ear Center)
- Pyramid Healthcare, Inc.
- Reagan Querry, PAC
- Peter J Racciato, M.D.
- Elisabeth Rampersad, CRNP
- Randy Nolf PC (Thrive Sleep and Breathing)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.