Allyson Kristen Favuzza, DNP, CRNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP015039 Issued in PA

Practice address

921 Drinker Tpke Ste 13
Covington Township, PA 18444-7948

Phone

(570) 795-9795

Fax

(570) 276-0195

NPI assigned

Jun 27, 2015

Last updated

Jun 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hometown Health Care of Nepa IncGroup PAC ID 0244644771, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
• Allied Services Institute of Rehabilitation Inpatient rehabilitation facility, Scranton, PA, CCN 393030

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: allysonfavuzza@hometownhealthnepa.kareodirect.com

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.

• Hometown Health Care of Nepa Inc.

  • Family Nurse Practitioner
  • Covington Township, PA
  • NPI 1770199036
  Medicare reassignment Care Compare group NPD Authorized official
• Blondek Center for Pediatric Health & Wellness PC

  • Pediatrics Physician
  • Dickson City, PA
  • NPI 1275011660
  NPD (past)
• Main Street Pediatrics of Greater Scranton

  • Pediatric Adolescent Medicine Physician
  • Dickson City, PA
  • NPI 1881253011
  NPD (past)
• Little Pediatrics P.C.

  • Pediatrics Physician
  • Port Jervis, NY
  • NPI 1932611340
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Allied Services Institute of Rehabilitation Medicine

  dba Allied Services Rehabilitation Hospital

  • Rehabilitation Hospital
  • Scranton, PA
  • NPI 1316944184

  Inpatient rehabilitation facility

  Care Compare affiliation
• Scranton Hospital Company LLC

  dba Regional Hospital Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Scranton, PA
  • NPI 1740566595

  Hospital

  Care Compare affiliation
• Scranton Hospital Company LLC

  dba Regional Hospital of Scranton

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1881983039
  Care Compare affiliation

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1740662683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 DRINKER TPKE STE 13",
            "city": "COVINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184447948",
            "telephone_number": "570-795-9795",
            "fax_number": "570-276-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 DRINKER TPKE STE 13",
            "city": "COVINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184447948",
            "telephone_number": "570-795-9795",
            "fax_number": "570-276-0195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Fellows St",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185042222",
            "country_code": "US",
            "telephone_number": "570-591-5280",
            "fax_number": "570-230-0013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Orchard St",
            "address_purpose": "LOCATION",
            "city": "Port Jervis",
            "state": "NY",
            "postal_code": "127712027",
            "country_code": "US",
            "telephone_number": "845-672-3995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "247 Main St",
            "address_purpose": "LOCATION",
            "city": "Dickson City",
            "state": "PA",
            "postal_code": "185191641",
            "country_code": "US",
            "telephone_number": "570-291-4180",
            "fax_number": "570-586-3953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAVUZZA",
        "first_name": "ALLYSON",
        "middle_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-27",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339857",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030864040001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355931",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Covington Independent Volunteer Fire Co
• Mariah Lee Davis, LCSW
• Susan D Decesare, PSY. D.
• Heather Elick
• Eugene D Harasym
• Mary Gibbons
• Eugene Daniel Harasym, M.D.
• Lynn Marie Heard
• Hometown Health Care of Nepa Inc.
• Kellen Kraky, CRNP

• Family Nurse Practitioner in Covington Township, PA
• Providers in Covington Township, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.

Verify at the official NPI Registry.