Individual provider Active NPI

Rebecca Gresh, CRNP

  • Gerontology Nurse Practitioner
  • Kingston, PA
National Provider Identifier
1851065858
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP024063 Issued in PA
Practice address
200 2ND Ave
Kingston, PA 18704-5722
Phone
(570) 288-9315
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP024063 PA Primary

Addresses

Primary practice location

200 2ND Ave
Kingston, PA 18704-5722

Mailing address

525 Bodle Rd
Wyoming, PA 18644-6019
Phone (570) 472-5352

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211011000034 PA Practitioner - Nurse Practitioner 9739587478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as group
Quality
87.25
Improvement activities
40
Cost
65.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP024063PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Inpatient Medicine Transitional Care PC CurrentSince Aug 30, 2021 Accepting new patients
Advanced Inpatient Medicine Transitional Care - Ltcaco LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

200 2nd Ave
Kingston, PA 18704
Phone (570) 288-9315

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

575 N River St
#M
Wilkes Barre, PA 18764

80 E Northampton St
Wilkes Barre, PA 18701
Phone (570) 826-1031

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1851065858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BODLE RD",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186446019",
            "telephone_number": "570-472-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 2ND AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045722",
            "telephone_number": "570-288-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESH",
        "first_name": "REBECCA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP024063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.