Kari Ann Myder, CRNP

Key facts

NPI

1801411475

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

SP021925 (PA)

Practice address

700 Quincy Ave
Scranton, PA 18510-1724

Phone

(570) 770-5926

NPI assigned

Jun 10, 2020

Sex

Female

Sole proprietor

Yes

Organizations & group practices 4

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.

• Scranton Primary Health Care Center, Inc. Federally Qualified Health Center (FQHC) · Scranton, PA · NPI 1801871579
  Medicare reassignment NPD PA
• Wayne Memorial Hospital General Acute Care Hospital · Honesdale, PA · NPI 1124026182
  Medicare reassignment NPD PA
• Scranton Primary Health Care Center, Inc Federally Qualified Health Center (FQHC) · Scranton, PA · NPI 1841709623
  NPD
• Wayne Memorial Hospital General Acute Care Hospital · Honesdale, PA · NPI 1649573023
  NPD

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

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 10, 2020.

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1801411475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SOUTH ST",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "184729328",
            "telephone_number": "570-493-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 QUINCY AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101724",
            "telephone_number": "570-770-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYDER",
        "first_name": "KARI",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP021925",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN656392",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Richard Musti, MS.ED.
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• Claire Nader
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• Roopa Ganapathi Naik, M.D.

All providers in Scranton, PA · Nurse Practitioner in Pennsylvania