Individual provider Active NPI

Maryellen Alexander, N.P.

  • Family Nurse Practitioner
  • East Stroudsburg, PA
National Provider Identifier
1952520876
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009544 Issued in PA
Practice address
203 East Brown Street
Pocono Medical Center
East Stroudsburg, PA 18301
Phone
(570) 421-4000
NPI assigned
Apr 25, 2007
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F335128-1 NY
Family Nurse Practitioner 363LF0000X LP0000358 DE
Family Nurse Practitioner 363LF0000X SP009544 PA Primary

Addresses

Primary practice location

203 East Brown Street
Pocono Medical Center
East Stroudsburg, PA 18301

Mailing address

111 Brittany Dr
Albrightsville, PA 18210-3727
Phone (347) 729-5368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL, DE3 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
I20071126000073 PA Practitioner - Nurse Practitioner 1658469838 Reassigns benefits to 4 organizations
I20191007001617 FL Practitioner - Nurse Practitioner 1658469838 Reassigns benefits to 2 organizations
I20201020000143 DE Practitioner - Nurse Practitioner 1658469838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP0000358DEMDFamily Nurse Practitioner
F335128-1NYMDFamily Nurse Practitioner
SP009544PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc CurrentSince Jan 18, 2017 Accepting new patients
Family Care Centers Inc CurrentSince Jul 1, 2015 Accepting new patients
Advanced Inpatient Medicine Associates PC CurrentSince Sep 3, 2023 Accepting new patients
Pennsylvania Hospitalist Group, LLC CurrentSince May 1, 2024 Accepting new patients
Family Care Centers Inc. CurrentSince Jul 1, 2015 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 18, 2017 Accepting new patients
Beebe Physician Network Inc. Family CurrentSince Jul 11, 2020 Accepting new patients

Locations

1515 Savannah Rd
Lewes, DE 19958

1535 Savannah Rd
Lewes, DE 19958
Phone (302) 645-3232

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

500 Plaza Ct
Ofc Plz
East Stroudsburg, PA 18301
Phone (570) 420-2188

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

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

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1952520876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BRITTANY DR",
            "city": "ALBRIGHTSVILLE",
            "state": "PA",
            "postal_code": "182103727",
            "telephone_number": "347-729-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 EAST BROWN STREET",
            "address_2": "POCONO MEDICAL CENTER",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "18301",
            "telephone_number": "570-421-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "MARYELLEN",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335128-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LP0000358",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.