Individual provider Active NPI

Debra L. Papp, CRNP

  • Nurse Practitioner
  • Frackville, PA
National Provider Identifier
1902861636
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
UP003768B Issued in PA
Practice address
602 Altamont Blvd
Frackville, PA 17931-2412
Phone
(570) 874-2033
Fax
(570) 874-2804
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X UP003768B PA Primary

Addresses

Primary practice location

602 Altamont Blvd
Frackville, PA 17931-2412

Mailing address

602 Altamont Blvd
Frackville, PA 17931-2412
Phone (570) 874-2033

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
I20040526001180 PA Practitioner - Nurse Practitioner 9032190905 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Mar 1, 2004 Accepting new patients
Geisinger Clinic CurrentSince Mar 1, 2004 Accepting new patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Geisinger Clinic Nurse Practitioner Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

701 W Oak St
Frackville, PA 17931
Phone (570) 874-4100

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

316 Mauch Chunk St
#577885
Pottsville, PA 17901
Phone (570) 622-2291

Organizations & group practices 4

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1902861636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 ALTAMONT BLVD",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179312412",
            "telephone_number": "570-874-2033",
            "fax_number": "570-874-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 ALTAMONT BLVD",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179312412",
            "telephone_number": "570-874-2033",
            "fax_number": "570-874-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPP",
        "first_name": "DEBRA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "UP003768B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frackville, PA

Sources for this page

Verify at the official NPI Registry.