Active NPI
Elizabeth A Dorn, CRNP
- Nurse Practitioner
- Scranton, PA
National Provider Identifier
1992751671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN314718L
- Practice address
- 743 Jefferson Ave
Suite 104
Scranton, PA 18510 - Phone
- (570) 346-4621
- Fax
- (570) 346-5109
- NPI assigned
- May 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN314718L | PA | Primary |
| Nurse Practitioner | 363L00000X | SP005776B | PA |
Addresses
Primary practice location
743 Jefferson Ave
Suite 104
Scranton, PA 18510
Mailing address
743 Jefferson Ave
Suite 104
Scranton, PA 18510
Phone (570) 346-4621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018654700006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN314718L | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scranton Heart Institute, P.C. | Past | Accepting new patients | |
| Wayne Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- edorn@tricountyent.medentdirect.com
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Clarks Green, PA
- NPI 1134152564
-
- General Acute Care Hospital
- Honesdale, PA
- NPI 1124026182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992751671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 JEFFERSON AVE",
"address_2": "SUITE 104",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18510",
"telephone_number": "570-346-4621",
"fax_number": "570-346-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 JEFFERSON AVE",
"address_2": "SUITE 104",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18510",
"telephone_number": "570-346-4621",
"fax_number": "570-346-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORN",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "RN314718L",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP005776B",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018654700006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.