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

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: July 19, 2026.

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
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

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.

Orthopaedic Surgery
150 MUNDY ST
WILKES BARRE, PA 18702
Physical Medicine & Rehabilitation
150 MUNDY ST
WILKES BARRE, PA 18702
Nurse Practitioner
150 MUNDY ST
WILKES BARRE, PA 18702
Nurse Practitioner
150 MUNDY ST
WILKES BARRE, PA 18702
Psychologist
150 MUNDY ST
WILKES BARRE, PA 18702
Durable Medical Equipment & Medical Supplies
150 MUNDY ST, MAC IV BUILDING
WILKES BARRE, PA 18702
Physical Medicine & Rehabilitation
150 MUNDY ST, MAC IV BUILDING
WILKES BARRE, PA 18702
Physical Therapist
150 MUNDY ST
WILKES BARRE, PA 18702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013960236, enumerated as an "individual" on May 18, 2006.

The provider is located at 150 MUNDY ST MAC IV BUILDING WILKES BARRE, PA 18702 and the phone number is (570) 824-0930.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.