Active NPI
Kelly Morgantini-Pepe, NP
- Nurse Practitioner
- Wilkes Barre, PA
National Provider Identifier
1972579225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP007035B
- Practice address
- 575 N River St
Wilkes Barre, PA 18764-0999 - Phone
- (570) 270-9192
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP007035B | PA | Primary |
Addresses
Primary practice location
575 N River St
Wilkes Barre, PA 18764-0999
Mailing address
198 Erie Ave
West Pittston, PA 18643-2656
Phone (570) 472-1896
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040506000117 | PA | Practitioner - Nurse Practitioner | 1850389875 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.3 of 100
- Quality
- 74.59
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP007035B | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Physician Services, LLC | Current | Accepting new patients | |
| Pennsylvania Physician Services, LLC | Current | Accepting new patients | |
| Sapphire Emergency Physicians, PC | Past | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Past | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Past | Accepting new patients |
Locations
746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079
575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300
575 N River St
Wilkes Barre Township, PA 18702
Phone (570) 283-3222
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1497059802
PA
-
- Emergency Medicine Physician
- Scranton, PA
- NPI 1184079105
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1114955010
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1235374927
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1891717674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1972579225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 ERIE AVE",
"city": "WEST PITTSTON",
"state": "PA",
"postal_code": "186432656",
"telephone_number": "570-472-1896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N RIVER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187640999",
"telephone_number": "570-270-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGANTINI-PEPE",
"first_name": "KELLY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP007035B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.