Active NPI
Rebecca Stewart Priblo, BSN, RN, CRNP
- Primary Care Nurse Practitioner
- Center Valley, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- SP028873
- Practice address
- 5445 Lanark Rd Ste 103
Center Valley, PA 18034-8694 - Phone
- (484) 526-7035
- NPI assigned
- Dec 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP028873 | PA | |
| Gerontology Nurse Practitioner | 363LG0600X | SP028873 | PA | |
| Primary Care Nurse Practitioner | 363LP2300X | SP028873 | PA | Primary |
Addresses
Primary practice location
5445 Lanark Rd Ste 103
Center Valley, PA 18034-8694
Mailing address
3141 Chestnut St
Philadelphia, PA 19104-2875
Phone (215) 895-2000
Other names 1
- Rebecca Stewart Lukaszczyk
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
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
5445 Lanark Rd
Center Valley, PA 18034-8694
Hospital & facility affiliations
- St Lukes Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP028873 | PA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc | Past | Accepting new patients |
Locations
4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600
5445 Lanark Rd
Ste 103
Center Valley, PA 18034
Phone (484) 526-5580
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
Interoperability endpoints
- rebecca.priblo@slpg.direct-sluhn.org
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.
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Internal Medicine Physician
- East Stroudsburg, PA
- NPI 1952662272
-
- Obstetrics & Gynecology Physician
- Bethlehem, PA
- NPI 1447801535
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1366011413
-
- General Acute Care Hospital
- Easton, PA
- NPI 1376339226
-
- General Acute Care Hospital
- Lehighton, PA
- NPI 1528737988
-
- General Acute Care Hospital
- Bethlehem, PA
- NPI 1013933175
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1548293954
-
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1982472205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3141 CHESTNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042875",
"telephone_number": "215-895-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 LANARK RD STE 103",
"city": "CENTER VALLEY",
"state": "PA",
"postal_code": "180348694",
"telephone_number": "484-526-7035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIBLO",
"first_name": "REBECCA",
"middle_name": "STEWART",
"credential": "BSN, RN, CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-15",
"last_updated": "2024-01-29",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP028873",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP028873",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PA",
"license": "SP028873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "LUKASZCZYK",
"middle_name": "STEWART",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Center Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.