Anne Romanowski, C.R.N.P.

Individual provider Active NPI Family Medicine Physician · Shawnee-on-Delaware, PA

NPI 1730154014 · NPPES record last updated Oct 22, 2012

Key facts

NPI
1730154014
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
VP-004370-B (PA)
Practice address
Buttermilk Falls Road
Shawnee-on-Delaware, PA 18356-0244
Phone
(570) 421-3900
Fax
(570) 424-1549
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group Inc (2,161 clinicians)

Practice addresses (Care Compare)

1619 N 9TH St
Stroudsburg, PA 18360-6501

1619 N 9TH Street
2A St Luke'S Nephrology Associates of Monro
Stroudsburg, PA 18360-6501
Phone (610) 628-7920

4311 Easton Ave
Bethlehem, PA 18020-1431
Phone (610) 954-3600

4379 Easton Ave
101 Family Prac Palmer
Bethlehem, PA 18020-1431
Phone (610) 814-2424

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20101123000721 PA Practitioner - Nurse Practitioner 7416143912 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
VP-004370-BPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc Family Medicine Current
since Jul 5, 2016
Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine Current
since Jul 5, 2016
Accepting new patients

Locations

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X VP-004370-B PA Yes

Addresses

Primary practice location

Buttermilk Falls Road
Shawnee-on-Delaware, PA 18356-0244

Mailing address

PO Box 244
Buttermilk Falls Road
Shawnee on Delaware, PA 18356-0244
Phone (570) 421-3900

Other identifiers

IdentifierTypeStateIssuer
1007575050001MedicaidPA
744447OtherPABLUE SHIELD

Other providers in Shawnee-on-Delaware, PA

All providers in Shawnee-on-Delaware, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.