Jennifer Lynn Kottler

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP027320 Issued in PA

Practice address

258 Old Tavern Rd
Hunlock Creek, PA 18621-3313

Phone

(570) 301-8690

NPI assigned

Apr 10, 2023

Last updated

Jul 3, 2025By 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 1

Addresses

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Children's Service Center of Wyoming Valley IncGroup PAC ID 1052567617, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Children's Service Center of Wyoming Valley, Inc

  • Counselor
  • Wilkes Barre, PA
  • NPI 1700861242
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  PA, Psychiatric/Mental Health

  Medicare reassignment NPD
• Feelgood Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hunlock Creek, PA
  • NPI 1306791454
  NPD Authorized official
• Children's Service Center of Wyoming Valley, Inc

  • Federally Qualified Health Center (FQHC)
  • Wilkes Barre, PA
  • NPI 1710617857
  NPD

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1740975366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 OLD TAVERN RD",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186213313",
            "telephone_number": "570-301-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 OLD TAVERN RD",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186213313",
            "telephone_number": "570-301-8690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 S Franklin St",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187023808",
            "country_code": "US",
            "telephone_number": "570-825-6425",
            "fax_number": "570-762-9013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTTLER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Q Herrick, PT
• Home and Mobility Solutions
• Hunlock Creek Vol Ambulance Assoc
• Jennifer Kelley, MS CCC/SLP
• Jennifer Ann Kennedy, MS, CCC-SLP
• Lake Silkworth Ambulance
• Lake Silkworth Volunteer Ambulance Association Inc
• Brian Meeker, MPT
• Mindful Moments Pediatric Therapy & Wellness Center, LLC
• Denise Olack, D.M.D.

• Psychiatric/Mental Health Nurse Practitioner in Hunlock Creek, PA
• Providers in Hunlock Creek, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.