Individual provider Active NPI

Pamela Cruse-Martocci, P.A.C.

  • Medical Physician Assistant
  • Stroudsburg, PA
National Provider Identifier
1912955428
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA001009L Issued in PA
Practice address
1803 W Main St
Stroudsburg, PA 18360-1027
Phone
(570) 421-0170
Fax
(570) 424-5167
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA001009L PA Primary

Addresses

Primary practice location

1803 W Main St
Stroudsburg, PA 18360-1027

Mailing address

1803 W Main St
Stroudsburg, PA 18360-1027
Phone (570) 421-0170

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
I20041020000192 PA Practitioner - Physician Assistant 2365403797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1581 N 9TH St
Stroudsburg, PA 18360-7576
Phone (272) 212-0620

1619 N 9TH St
Stroudsburg, PA 18360-6501

1619 N 9TH Street
2A St Luke'S Nephrology Associates of Monro
Stroudsburg, PA 18360-6501
Phone (610) 628-7920

4311 Easton Ave
Bethlehem, PA 18020-1431
Phone (610) 954-3600

4379 Easton Ave
101 Family Prac Palmer
Bethlehem, PA 18020-1431
Phone (610) 814-2424

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group, Inc CurrentSince Jan 3, 2017 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jan 3, 2017 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1619 N 9th St
Ste 2
Stroudsburg, PA 18360
Phone (570) 664-8900

1581 N 9th St
Stroudsburg, PA 18360
Phone (272) 212-4490

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1912955428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 W MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601027",
            "telephone_number": "570-421-0170",
            "fax_number": "570-424-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 W MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601027",
            "telephone_number": "570-421-0170",
            "fax_number": "570-424-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUSE-MARTOCCI",
        "first_name": "PAMELA",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA001009L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.