Nicole Craven, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP009471 Issued in PA

Practice address

1078 S Washington Ave
Scranton, PA 18505-3812

Phone

(570) 241-0500

Fax

(570) 491-8012

NPI assigned

Jul 28, 2007

Last updated

Sep 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Serwin Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Concertocare Medical Group of Pennsylvania, PC

  • Internal Medicine Physician
  • Camp Hill, PA
  • NPI 1235969171
  Medicare reassignment NPD
• Osh - PA Physicians Group, PC

  • Primary Care Clinic/Center
  • Philadelphia, PA
  • NPI 1811405533

  Family

  Medicare reassignment NPD
• St. Luke's Physician Group, Inc.

  dba South Mountain Family Practice

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment NPD
• St Luke's Physician Group Inc

  dba St. Luke's Primary Care Orwigsburg

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St. Luke's Physician Group, Inc.

  dba St. Luke's Internal Medicine Bangor

  • Internal Medicine Physician
  • Bangor, PA
  • NPI 1730403304
  NPD
• St. Luke's Physician Group, Inc.

  • Maternal & Fetal Medicine Physician
  • Fountain Hill, PA
  • NPI 1003867623
  NPD (past)

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1891985586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013005",
            "telephone_number": "570-421-3872",
            "fax_number": "570-421-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 S WASHINGTON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053812",
            "telephone_number": "570-241-0500",
            "fax_number": "570-491-8012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 E Brown St",
            "address_purpose": "LOCATION",
            "city": "East Stroudsburg",
            "state": "PA",
            "postal_code": "183013005",
            "country_code": "US",
            "telephone_number": "570-421-3872",
            "fax_number": "570-421-8345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-28",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SERWIN",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melissa Anne Cottone, MA, LPC, BCBA
• Counseling & Wellness Center of Scranton LLC
• Sydney Couturier, PHARMD
• Brian Eric Coval
• Carlie Ann Craven
• Colleen Maria Crawford
• Karen Crecco, R.PH.
• Alicia Kathleen Crinella, PA-C
• Cory Crinella
• Lauren Marie Crinella, PA-C

• Family Nurse Practitioner in Scranton, PA
• Providers in Scranton, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.

Verify at the official NPI Registry.