GEISINGER CLINIC
NPI 1023616471
Internal Medicine in Jersey Shore, PA
About Geisinger Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEISINGER CLINIC (NPI 1023616471) is a healthcare organization registered as an internal medicine in Jersey Shore, Pennsylvania and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through March 16, 2028, maintains a secondary practice location in Jersey Shore, and lists Cindy L Mull, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Geisinger Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4,415Medicare enrollment records show 4,415 clinicians reassign Medicare billing to Geisinger Clinic, which bills Medicare for the services they deliver. Of these, 21 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 72
Nearest to this location (20)
See all 4,415Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 39D2180574
Geisinger Jersey Shore Clinic · Jersey Shore, PAFrequently 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 Geisinger Clinic's NPI number?
The NPI number for Geisinger Clinic is 1023616471. It was assigned to this organization in the NPPES registry on October 16, 2020.
Where is Geisinger Clinic located?
Geisinger Clinic is located at 1020 Thompson St, Jersey Shore, PA 17740. The listed phone number is (570) 398-1991.
What is Geisinger Clinic's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Geisinger Clinic enrolled in Medicare?
Yes. Geisinger Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Geisinger Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 4,415 clinicians in 72 Medicare specialties reassign their Medicare billing to Geisinger Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (566), Certified Registered Nurse Anesthetist (CRNA) (411) and Internal Medicine (361). Of these, 21 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Geisinger Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2180574) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Geisinger Clinic accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Geisinger Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Geisinger Clinic was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Geisinger Clinic · NPI 1023616471
Internal Medicine organization in Jersey Shore, Pennsylvania. Organization record, active in the CMS NPPES registry since October 16, 2020.
## Identity
- **NPI:** 1023616471 (Entity type: Organization)
- **Enumerated:** October 16, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Cindy Mull, DIRECTOR
## Practice location
- **Address:** 1020 THOMPSON ST, Jersey Shore, PA 17740-1729
- **Phone:** (570) 398-1991 · **Fax:** (570) 398-4607
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4,415 clinicians in 72 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (566), Certified Registered Nurse Anesthetist (CRNA) (411), Internal Medicine (361); 21 practice at this address; [full list](https://npiprofile.com/npi/1023616471/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023616471) · Data from the CMS NPPES public registry.