Active NPI
Nancy L Grauso - Eby, D.O.
- Pediatrics Physician
- Williamsport, PA
National Provider Identifier
1811979875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS012665
- Practice address
- 175 Pine St Ste 200
Williamsport, PA 17701-6549 - Phone
- (570) 326-2447
- NPI assigned
- Nov 16, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 02004254A | IN | |
| Pediatrics Physician | 208000000X | OS012665 | PA | Primary |
Addresses
Primary practice location
175 Pine St Ste 200
Williamsport, PA 17701-6549
Mailing address
1201 Grampian Blvd
Williamsport, PA 17701-1900
Phone (570) 326-8723
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ngrausoeby77928@direct.geisinger.edu | Direct | |
| Direct Messaging Address | UPMCHospitals@upmcdirect.com | Health Information Exchange (HIE) |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS012665 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Pediatrics | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Susquehanna Physician Services | Past | Accepting new patients |
Locations
4200 Hospital Rd
Coal Township, PA 17866
Phone (570) 644-4200
100 N Academy Ave
Danville, PA 17822
Interoperability endpoints
- ngrausoeby104734@upmc.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Pediatrics Physician
- Scranton, PA
- NPI 1952995482
-
dba Susquehanna Health Medical Group
- Family Medicine Physician
- South Williamsport, PA
- NPI 1780631226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1811979875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 GRAMPIAN BLVD",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011900",
"telephone_number": "570-326-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 PINE ST STE 200",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177016549",
"telephone_number": "570-326-2447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAUSO - EBY",
"first_name": "NANCY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "02004254A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS012665",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ngrausoeby77928@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4200 Hospital Rd",
"city": "Coal Township",
"state": "PA",
"country_code": "US",
"postal_code": "178669668",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UPMCHospitals@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "secure UPMC direct address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "600 Grant St Fl 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192739",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.