Jennifer Lynn Kottler
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Hunlock Creek, PA
NPI 1740975366 · NPPES record last updated Jul 3, 2025
Key facts
- NPI
- 1740975366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- SP027320 (PA)
- Practice address
- 258 Old Tavern Rd
Hunlock Creek, PA 18621-3313 - Phone
- (570) 301-8690
- NPI assigned
- Apr 10, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
335 S Franklin St
Wilkes Barre, PA 18702-3808
Phone 5708256425581
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230613000886 | PA | Practitioner - Nurse Practitioner | 9638536261 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP027320 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feelgood Psychiatric Services LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Children'S Service Center of Wyoming Valley, Inc | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current |
Accepting new patients |
| Children'S Service Center of Wyoming Valley, Inc | Current | Accepting new patients |
Locations
133 W Tioga St
Tunkhannock, PA 18657
Phone (570) 836-2722
335 S Franklin St
Wilkes Barre, PA 18702
Phone (570) 825-6425
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP027320 | PA | Yes |
Addresses
Primary practice location
258 Old Tavern Rd
Hunlock Creek, PA 18621-3313
Mailing address
258 Old Tavern Rd
Hunlock Creek, PA 18621-3313
Phone (570) 301-8690
Other practice location 1
335 S Franklin St
Wilkes Barre, PA 18702-3808
Phone (570) 825-6425
Other providers in Hunlock Creek, PA
- Patricia Q Herrick
- Home and Mobility Solutions
- Hunlock Creek Vol Ambulance Assoc
- Jennifer Kelley
- Jennifer Ann Kennedy
- Lake Silkworth Ambulance
- Lake Silkworth Volunteer Ambulance Association Inc
- Brian Meeker
- Mindful Moments Pediatric Therapy & Wellness Center, LLC
- Denise Olack
All providers in Hunlock Creek, PA · Psychiatric/Mental Health Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.