Individual provider Active NPI

Anna Wnuk, CRNP

  • Family Nurse Practitioner
  • Clarks Summit, PA
National Provider Identifier
1740015668
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030838 Issued in PA
Practice address
407 N State St
Clarks Summit, PA 18411-1097
Phone
(570) 586-1134
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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 SP030838 PA Primary

Addresses

Primary practice location

407 N State St
Clarks Summit, PA 18411-1097

Mailing address

407 N State St
Clarks Summit, PA 18411-1097
Phone (570) 586-1134

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anna.wnuk.1@21771.direct.athenahealth.com Direct

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
I20241105002514 PA Practitioner - Nurse Practitioner 8123552742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

315 S Main St
Old Forge, PA 18518-1606
Phone (570) 457-8364

407 N State St
Physicians Health Alliance
Clarks Summit, PA 18411-1061
Phone (570) 586-1134

890 Viewmont Dr
Dickson City, PA 18519-1699
Phone (570) 207-4360

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP030838PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Quincy Clinic Company LLC CurrentSince Nov 1, 2024 Accepting new patients
Scranton Quincy Clinic Company LLC Family CurrentSince Nov 1, 2024 Accepting new patients
Wilkes-Barre Clinic Company LLC Past Accepting new patients

Locations

407 N State St
Clarks Summit, PA 18411
Phone (570) 586-1134

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

Interoperability endpoints

  • Direct secure messaging: anna.wnuk.1@21771.direct.athenahealth.com

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 4

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": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1740015668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111097",
            "telephone_number": "570-586-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111097",
            "telephone_number": "570-586-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WNUK",
        "first_name": "ANNA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anna.wnuk.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "407 N State St",
            "city": "Clarks Summit",
            "state": "PA",
            "country_code": "US",
            "postal_code": "184111097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

Verify at the official NPI Registry.