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Active NPI 1467767590 Individual Practitioner Female Practitioner

Susan Petokas , CRNP

Nurse Practitioner • Scranton, PA

Professional Overview & Biography Verified Profile Summary

Susan Petokas, CRNP is a registered healthcare professional specializing in Nurse Practitioner in Scranton, PA. Practice services are available at 820 S WASHINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

820 S Washington Ave

Scranton, PA 185051639

Telephone 5705954496
Fax 5709613844
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Scranton, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
66 Specialists

Practicing in Scranton, PA (3955 Statewide)

Telehealth Adoption Rate
7.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-16
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA SP001243B

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License PA SP001243B

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1007678420050 (PA)
Medicaid State Provider ID
1026041580002 (PA)
Medicaid State Provider ID
1007678420035 (PA)
Medicaid State Provider ID
102604158004 (PA)
Medicaid State Provider ID
102604158005 (PA)

Secondary Practice Locations

10 W Chestnut St Ste 9

Hazleton, PA 182016419

Phone: 5708261777

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Sara Wargo , MA

Social Worker

NPI 1013472760

Master of Arts

Nakita Shaffer , RN

Registered Nurse

NPI 1053977454

Registered Nurse

Mia Lin , CRNP

Nurse Practitioner

NPI 1093303745

Certified Registered Nurse Practitioner

Sandra Winters , CRNP

Nurse Practitioner - Family

NPI 1174613475

Certified Registered Nurse Practitioner

Laurie Waskovich , MS, RD, LDN

Dietitian, Registered

NPI 1215274659

Master of Science, Registered Dietitian, Licensed Dietitian Nutritionist

NPI 1437838414

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 16, 2024

Registered at 820 S WASHINGTON AVE, SCRANTON, PA 185051639 (Tel: 5705954496)

📍
Updated Business Mailing Address August 16, 2024

Registered at 15 PUBLIC SQ STE 600, WILKES BARRE, PA 187011704 (Tel: 5708261777)

NPI Profile Active February 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2016

Registered at 640 MADISON AVE, SCRANTON, PA 185101631 (Tel: 5709615550)

📍
Updated Business Mailing Address February 02, 2016

Registered at 15 PUBLIC SQ, SUITE 600, WILKES BARRE, PA 187011702 (Tel: 5708261777)

👤
Provider Name / Credentials Updated February 02, 2016

Recorded as SUSAN PETOKAS, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2016

Nurse Practitioner (License #SP001243B in PA)

🟢
Initial NPI Registration & Enumeration August 12, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467767590
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2010
Last Update: August 16, 2024
Sole Proprietor: Yes

Mailing Address

15 Public Sq Ste 600

Wilkes Barre, PA 187011704

Phone: 5708261777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.