Active NPI
Judith McDevitt Piestrak, CRNP
- Nurse Practitioner
- Scranton, PA
National Provider Identifier
1790758696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP006306C
- Practice address
- 746 Jefferson Ave
Suite 305
Scranton, PA 18510-1624 - Phone
- (570) 342-1776
- Fax
- (570) 963-0663
- NPI assigned
- Feb 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP006306C | PA | |
| Nurse Practitioner | 363L00000X | SP006306C | PA | Primary |
Addresses
Primary practice location
746 Jefferson Ave
Suite 305
Scranton, PA 18510-1624
Mailing address
746 Jefferson Ave
Suite 305
Scranton, PA 18510-1624
Phone (570) 342-1776
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | judith.piestrak.1@21771.direct.athenahealth.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
743 Jefferson Ave
Suite 305
Scranton, PA 18510-1639
Phone (570) 342-1776
Hospital & facility affiliations
- Regional Hospital of Scranton
- Wayne Memorial Hospital
- Wilkes-Barre General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.17 of 100
- Quality
- 78.34
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scranton Cardiovascular Physician Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Lehigh Valley Cardio Diagnostics PC | Past | Accepting new patients | |
| Great Valley Cardiology Associates | Past | Accepting new patients |
Locations
746 Jefferson Ave
Ste 305
Scranton, PA 18510
Phone (570) 342-1776
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.
-
- Cardiovascular Disease Physician
- Scranton, PA
- NPI 1366725418
Nurse Practitioner
-
- Cardiovascular Disease Physician
- Scranton, PA
- NPI 1770588980
-
- Cardiovascular Disease Physician
- Allentown, PA
- NPI 1386738326
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Scranton, PA
- NPI 1740566595
Hospital
-
- General Acute Care Hospital
- Scranton, PA
- NPI 1881983039
-
- General Acute Care Hospital
- Honesdale, PA
- NPI 1124026182
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1255585303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1790758696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "746 JEFFERSON AVE",
"address_2": "SUITE 305",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185101624",
"telephone_number": "570-342-1776",
"fax_number": "570-963-0663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "746 JEFFERSON AVE",
"address_2": "SUITE 305",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185101624",
"telephone_number": "570-342-1776",
"fax_number": "570-963-0663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIESTRAK",
"first_name": "JUDITH",
"middle_name": "MCDEVITT",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP006306C",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP006306C",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "judith.piestrak.1@21771.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "746 Jefferson Ave",
"address_2": "Suite 305",
"city": "Scranton",
"state": "PA",
"country_code": "US",
"postal_code": "185101624",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.