Caroline Elizabeth Kudrich, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA064728 Issued in PA

Practice address

4 E Main St
Nanticoke, PA 18634-1602

Phone

(570) 258-3939

Fax

(570) 258-0119

NPI assigned

Aug 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Commonwealth Physician Network LLCGroup PAC ID 2668696592, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Commonwealth Home Health & Hospice of Wilkes-Barre Home health agency, Forty Fort, PA, CCN 397021
• Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137

Merit-based Incentive Payment System (MIPS)

Final score

89.17 of 100Reported as apm

Quality

78.34

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: caroline.kudrich.1@21771.direct.athenahealth.com

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.

• Commonwealth Physician Network LLC

  • Internal Medicine Physician
  • Kingston, PA
  • NPI 1003238635

  PA

  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wilkes Barre Home Care Services LLC

  • Home Health Agency
  • Forty Fort, PA
  • NPI 1710129762
  Care Compare affiliation Name & address match
• Wilkes Barre Hospital Company LLC

  • Clinic/Center
  • Wilkes Barre, PA
  • NPI 1053554378

  Hospital

  Care Compare affiliation
• Wilkes Barre Hospital Company LLC

  • General Acute Care Hospital
  • Wilkes Barre, PA
  • NPI 1255585303

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1861275919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E MAIN ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341602",
            "telephone_number": "570-258-3939",
            "fax_number": "570-258-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E MAIN ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341602",
            "telephone_number": "570-258-3939",
            "fax_number": "570-258-0119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Scott St",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187025616",
            "country_code": "US",
            "telephone_number": "570-824-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176 N Main St",
            "address_purpose": "LOCATION",
            "city": "Shavertown",
            "state": "PA",
            "postal_code": "187081121",
            "country_code": "US",
            "telephone_number": "570-675-0900",
            "fax_number": "570-674-8912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUDRICH",
        "first_name": "CAROLINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA006556",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caroline.kudrich.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": ".",
            "address_1": "4 E Main St",
            "city": "Nanticoke",
            "state": "PA",
            "country_code": "US",
            "postal_code": "186341602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caroline.kudrich.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "176 N Main St",
            "city": "Shavertown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187081121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caroline.kudrich.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 Scott St",
            "city": "Wilkes Barre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187025616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William R Killgore Jr., LPC
• Kimberly Ann Klinges, COTA/L
• Ann Adora Konycki
• Alyssa Korman
• Christine Kropiewnicki, RPH
• Kathleen Kugler
• Cynthia Kathryn Lapinski-Jurta, DPM
• Heather Elaine Lasco, RD, LD
• Brittany Ann Lehman, LPC
• Abby Marie Lewis, COTA/L

• Physician Assistant in Nanticoke, PA
• Providers in Nanticoke, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.