Active NPI 1326584046 Individual Practitioner Female Practitioner

Herline Raphael

Nurse Practitioner • Stroudsburg, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Herline Raphael is a certified Nurse Practitioner practicing in Stroudsburg, PA. With approximately 11 years of clinical experience since completing medical education in 2015, Herline Raphael delivers high-quality medical care to the local community at 104 SKINNER HILL RD.

Herline Raphael maintains professional affiliations with Essential Ot Pt Slp And Psychology Services Pllc, Advanced Inpatient Medicine Pc, Snp Direct Paths Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

104 Skinner Hill Rd

Stroudsburg, PA 18360

Telephone 8456419412

Associated Practice Facility / Clinic

🏢 Comprehensive Home Care Service Facility NPI 1104223015

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Stroudsburg, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +5.4 yrs vs City Avg

City Avg: 5.6 Yrs

State Avg: 10.7 Yrs

Regional Practice Density

15 Specialists

Practicing in Stroudsburg, PA (3955 Statewide)

Telehealth Adoption Rate

26.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

19.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raphael (11 Years) 11 Yrs

Stroudsburg Specialty Average (5.6 Years) 5.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,325	577	$86.08	$52.79
99213 Established patient office or other outpatient visit, typically 15 minutes	426	181	$86.01	$85.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	871	362	$86.01	$52.64
99213 Established patient office or other outpatient visit, typically 15 minutes	666	237	$86.01	$85.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$392.47	$108.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	11	$323.05	$98.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$543.60	$144.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	712	459	$86.00	$84.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	141	139	$585.37	$164.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	61	40	$302.97	$84.80
99220 Hospital observation care, typically 70 minutes	30	30	$529.87	$148.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	145	138	$607.00	$168.42
99220 Hospital observation care, typically 70 minutes	49	49	$555.00	$153.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	19	$313.00	$86.90
99291 Critical care, first 30-74 minutes	18	18	$833.00	$186.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	274	267	$629.95	$172.94
99220 Hospital observation care, typically 70 minutes	64	64	$569.38	$158.55
99291 Critical care, first 30-74 minutes	37	37	$854.95	$191.04
99219 Hospital observation care, typically 50 minutes	19	19	$425.53	$115.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	225	215	$655.00	$168.77
99219 Hospital observation care, typically 50 minutes	34	34	$439.00	$113.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$442.00	$114.56
99220 Hospital observation care, typically 70 minutes	18	18	$601.00	$155.16
99291 Critical care, first 30-74 minutes	13	13	$891.00	$187.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	105	103	$330.26	$168.66
99220 Hospital observation care, typically 70 minutes	36	35	$302.58	$156.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	254	141	$115.00	$59.99
99239 Hospital discharge day management, more than 30 minutes	75	74	$170.00	$86.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$325.00	$163.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	19	$165.00	$83.42

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA SP017091

(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.

Hospital & Practice Group Affiliations

Advanced Inpatient Medicine Pc

601 Park St, Honesdale, PA 184311445

Phone: 5702538100

Np Family Health Visits And Np Adult Health Visits Pllc

17 N Plank Rd, Newburgh, NY 125502111

Phone: 8458009305

Comprehensive Ot Pt Slp And Adult Health Np Services, Pllc

63 New Main St, Haverstraw, NY 109271859

Phone: 8456419413

Snp Direct Paths Llc

16 Deer Trl, Nesquehoning, PA 182402114

Phone: 9542498694

Essential Ot Pt Slp And Psychology Services Pllc

1360 E 86th St, Brooklyn, NY 112365132

Phone: 9174998496

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Yelena Kipervas , MD

Family Medicine

NPI 1821127721

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 19, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 19, 2017

Registered at 104 SKINNER HILL RD, STROUDSBURG, PA 18360 (Tel: 8456419412)

📍

Updated Business Mailing Address January 19, 2017

Registered at 4178 BLUE MOUNTAIN XING, EAST STROUDSBURG, PA 183019333 (Tel: 8456419412)

👤

Provider Name / Credentials Updated January 19, 2017

Recorded as HERLINE RAPHAEL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Nurse Practitioner (License #SP017091 in PA)

🟢

Initial NPI Registration & Enumeration January 19, 2017

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: 1326584046

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 19, 2017

Last Update: January 19, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4178 Blue Mountain Xing

East Stroudsburg, PA 183019333

Phone: 8456419412

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.