Active NPI
Laura Fierke, PA-C
- Physician Assistant
- Honesdale, PA
National Provider Identifier
1821472440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA057648
- Practice address
- 600 Maple Ave Ste 1
Honesdale, PA 18431-1436 - Phone
- (570) 253-8635
- Fax
- (570) 253-8646
- NPI assigned
- Jul 14, 2015
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OA003565 | PA | |
| Physician Assistant | 363A00000X | MA057648 | PA | Primary |
Addresses
Primary practice location
600 Maple Ave Ste 1
Honesdale, PA 18431-1436
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lfierke126643@direct.geisinger.edu | Direct |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150924001256 | PA | Practitioner - Physician Assistant | 5890003800 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA003565 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Wayne Memorial Hospital | Current | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
601 Park St
Honesdale, PA 18431
Phone (570) 253-8100
601 Park St
Ste 4
Honesdale, PA 18431
600 Maple Ave
Ste 1
Honesdale, PA 18431
Phone (570) 253-6290
2872 Turnpike St
Susquehanna, PA 18847
Phone (570) 853-3135
Interoperability endpoints
- laura.fierke.1@30200.direct.athenahealth.com
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.
-
- Family Medicine Physician
- Scranton, PA
- NPI 1225445612
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1821472440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144",
"fax_number": "570-271-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MAPLE AVE STE 1",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184311436",
"telephone_number": "570-253-8635",
"fax_number": "570-253-8646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIERKE",
"first_name": "LAURA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA003565",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA057648",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lfierke126643@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1000 E Mountain Blvd",
"address_2": "Geisinger Specialty Clinic, Neurology",
"city": "Wilkes Barre",
"state": "PA",
"country_code": "US",
"postal_code": "187113731",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Honesdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.