Individual provider Active NPI

Courtney Shingler, CRNP

  • Nurse Practitioner
  • Tunkhannock, PA
National Provider Identifier
1720623523
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP020605 Issued in PA
Practice address
5950 Sr 6
Tunkhannock, PA 18657-7905
Phone
(570) 836-4294
NPI assigned
Nov 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020605 PA
Nurse Practitioner 363L00000X SP020605 PA Primary

Addresses

Primary practice location

5950 Sr 6
Tunkhannock, PA 18657-7905

Mailing address

241 Williams Rd
Meshoppen, PA 18630-8013
Phone (570) 604-2848

Other names 1

  • Courtney Mackrell 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
I20200127001406 PA Practitioner - Nurse Practitioner 5395170039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

5950 Sr
6 Suite 101
Tunkhannock, PA 18657-7905
Phone (570) 836-4294

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020605PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Jun 1, 2024 Accepting new patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Geisinger Clinic CurrentSince Feb 2, 2020 Accepting new patients
Geisinger Clinic CurrentSince Feb 2, 2020 Accepting new patients
Guthrie Medical Group, P.C, CurrentSince Jun 1, 2024 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178

100 N Academy Ave
Danville, PA 17822

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

5950 Sr 6
Ste 101
Tunkhannock, PA 18657
Phone (570) 836-4294

Interoperability endpoints

  • Direct secure messaging: cshingler200367@direct-guthrie.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1720623523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 WILLIAMS RD",
            "city": "MESHOPPEN",
            "state": "PA",
            "postal_code": "186308013",
            "telephone_number": "570-604-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 SR 6",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186577905",
            "telephone_number": "570-836-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINGLER",
        "first_name": "COURTNEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020605",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "MACKRELL",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tunkhannock, PA

Sources for this page

Verify at the official NPI Registry.