NPIMap

Geisinger Clinic

Organization Active NPI Cardiac Rehabilitation Registered Nurse · Wilkes Barre, PA

NPI 1841995214 · NPPES record last updated Apr 13, 2023

Key facts

NPI
1841995214
Entity type
Organization (NPI type 2)
Primary specialty
Cardiac Rehabilitation Registered Nurse 163WC3500X
Legal business name
GEISINGER CLINIC
Practice address
675 Baltimore Dr
Wilkes Barre, PA 18702-7900
Phone
(570) 808-7973
Fax
(570) 808-5383
NPI assigned
Apr 4, 2023
Organization subpart
No

Authorized official

Name
Cindy L Mull
Title
System Director Credentialing
Phone
(570) 271-6603

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3,433

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 3,433

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Geisinger Home Health
Danville, PA · CCN 397718		 Home health agency 5% Or Greater Indirect Ownership Interest (25%) Apr 1, 2019
Geisinger Home Health
Hazle Township, PA · CCN 398030		 Home health agency 5% Or Greater Indirect Ownership Interest (25%) Apr 1, 2019
Geisinger Hospice
Danville, PA · CCN 391533		 Hospice 5% Or Greater Indirect Ownership Interest (25%) Apr 1, 2019

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230605003370 PA Part B Supplier - Intensive Cardiac Rehabilitation 5395657001 Receives reassigned benefits from 4 practitioners
Practice locations: Wilkes Barre, PA

National Provider Directory

Tax ID family
Geisinger Clinic Sunbury (275 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered Nurse
Group: 193400000X SINGLE SPECIALTY GROUP		 163WC3500X Yes

Addresses

Primary practice location

675 Baltimore Dr
Wilkes Barre, PA 18702-7900

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other providers in Wilkes Barre, PA

All providers in Wilkes Barre, PA · Cardiac Rehabilitation Registered Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.