MS. MARY ELLEN MCCORMICK CRNP
NPI 1013960236
Nurse Practitioner in Wilkes Barre, PA

Q: What is Mary Ellen Mccormick's NPI number?

The NPI number for Mary Ellen Mccormick is 1013960236. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is Mary Ellen Mccormick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since May 18, 2006

150 MUNDY ST, MAC IV BUILDING, WILKES BARRE, PA 18702(570) 824-0930(570) 824-7755 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Mary Ellen Mccormick Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY ELLEN MCCORMICK CRNP (NPI 1013960236) is an individual nurse practitioner in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (VP003894C) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1013960236

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. MARY ELLEN MCCORMICKCredential: CRNP

Location Address150 MUNDY ST, MAC IV BUILDINGWilkes Barre, PA 18702-6830

Mailing Address150 Mundy Street, Mac Iv BuildingWilkes-barre, PA 18702-6380 · (570) 824-0930 · Fax (570) 824-7755

Phone(570) 824-0930

Fax(570) 824-7755

Sole ProprietorNo

Enumeration DateMay 18, 2006

Last NPPES UpdateJune 18, 2009

✔ NPI 1013960236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · VP003894C

Definition

(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.

150 MUNDY ST, Wilkes Barre, PA 18702

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Other Identifiers 3

Medicare UPINS64281PA

Medicare PIN019287J67PA

Other50076332PA · Capital Blue Cross

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN A. KLINE M.D.

Physical Medicine & Rehabilitation

150 MUNDY ST
WILKES BARRE, PA 18702

Luzerne County (570) 824-0930

MID-STATE OCCUPATIONAL HEALTH SERVICES, INC.

Clinic/Center (Occupational Medicine)

150 MUNDY ST, MAC 1
WILKES BARRE, PA 18702

Luzerne County (570) 970-2300

AMERICAN HOMECARE SUPPLY CO

Durable Medical Equipment & Medical Supplies

150 MUNDY ST, MAC IV BUILDING
WILKES BARRE, PA 18702

Luzerne County (570) 825-7600

JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE

Rehabilitation Hospital

150 MUNDY ST
WILKES BARRE, PA 18702

Luzerne County (570) 826-3800

DENISE ANN ZAVADA L.C.S.W.

Social Worker (Clinical)

150 MUNDY ST
WILKES BARRE, PA 18702

Luzerne County (570) 830-4207

KELLY MONICA GAZEY PT

Physical Therapist

150 MUNDY ST
WILKES BARRE, PA 18702

Luzerne County (570) 826-3800

GREGORY G. BASTING M.D.

Physical Medicine & Rehabilitation

150 MUNDY ST
WILKES BARRE, PA 18702

Luzerne County (570) 824-0930

PETER A FEINSTEIN, MD, PC

Orthopaedic Surgery

150 MUNDY ST
WILKES BARRE, PA 18702

Luzerne County (570) 826-5559

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ellen Mccormick's NPI number?

The NPI number for Mary Ellen Mccormick is 1013960236. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Mary Ellen Mccormick located?

Mary Ellen Mccormick practices at 150 Mundy St Mac IV Building, Wilkes Barre, PA 18702. The listed phone number is (570) 824-0930.

What is Mary Ellen Mccormick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Ellen Mccormick was last updated on June 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.