Individual provider Active NPI

Patricia Baumann, CRNP

  • Adult Health Nurse Practitioner
  • Scranton, PA
National Provider Identifier
1902217177
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP013860 Issued in PA
Practice address
1210 S Irving Ave
Scranton, PA 18505-2448
Phone
(570) 558-0564
NPI assigned
May 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP013860 PA Primary
Gerontology Nurse Practitioner 363LG0600X SP013860 PA

Addresses

Primary practice location

1210 S Irving Ave
Scranton, PA 18505-2448

Mailing address

1210 S Irving Ave
Scranton, PA 18505-2448
Phone (570) 558-0564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171019000542 NY Practitioner - Nurse Practitioner 2466728498 Reassigns benefits to 1 organization
I20180228000288 PA Practitioner - Nurse Practitioner 2466728498 Reassigns benefits to 1 organization
I20241002000805 WI Practitioner - Nurse Practitioner 2466728498 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus CurrentSince Jan 1, 2023 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

250 E Wisconsin Ave
Fl 18
Milwaukee, WI 53202
Phone (303) 748-5781

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": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1902217177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 S IRVING AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185052448",
            "telephone_number": "570-558-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S IRVING AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185052448",
            "telephone_number": "570-558-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMANN",
        "first_name": "PATRICIA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP013860",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP013860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.