Cynthia Bubb, CRNP
Individual provider Active NPI Nurse Practitioner · Berwick, PA
NPI 1871014142 · NPPES record last updated Feb 11, 2021
Key facts
- NPI
- 1871014142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- SP017596 (PA)
- Practice address
- 65 Briar Creek PLZ
Berwick, PA 18603-4100 - Phone
- (570) 802-5590
- NPI assigned
- Jun 27, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geisinger-HM Joint Venture LLC
Geisinger Clinic
Practice addresses (Care Compare)
1824 E 3Rd St
Williamsport, PA 17701-3914
Phone (570) 601-2200
2200 W Front St
GMG Berwick
Berwick, PA 18603-4106
Phone (570) 759-2017
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171228001141 | PA | Practitioner - Nurse Practitioner | 4688932486 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP017596 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger-HM Joint Venture, LLC | Current |
Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Nurse Practitioner | Current | Accepting new patients |
| Geisinger Clinic | Nurse Practitioner | Current |
Accepting new patients |
| Geisinger Clinic | Nurse Practitioner | Current | Accepting new patients |
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
2200 W Front St
Berwick, PA 18603
Phone (570) 759-1228
65 Briar Creek Plz
Berwick, PA 18603
Phone (570) 802-5590
425 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-2474
114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178
175 Northumberland St
Danville, PA 17821
Phone (570) 284-4575
100 N Academy Ave
Danville, PA 17822
68 Spring St
Lock Haven, PA 17745
Phone (570) 263-5830
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
10990 State Route 61
Mount Carmel, PA 17851
Phone (570) 339-4513
529 Terry Reiley Way
Pottsville, PA 17901
Phone (570) 624-4120
157 Roosevelt Ave
Selinsgrove, PA 17870
Phone (570) 884-3726
2660 N Susquehanna Trl
Shamokin Dam, PA 17876
Phone (570) 884-3726
1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422
Interoperability endpoints
- cbubb290995@direct.geisinger.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP017596 | PA | |
| Nurse Practitioner | 363L00000X | SP017596 | PA | Yes |
Addresses
Primary practice location
65 Briar Creek PLZ
Berwick, PA 18603-4100
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other names
- Cindy Bubb
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbubb290995@direct.geisinger.edu | Direct |
Other providers in Berwick, PA
- Steven G Bishop
- Danielle Blass
- Bloomsburg Physicians Services
- Ruth K. Brewer
- Yolanda Brown
- Dan Stefan Butoi
- Christopher Cappellini
- Care First Pharmacy Services LLC
- Care Plus Oxygen, Inc.
- Caring Communities for AIDS
All providers in Berwick, PA · Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.