WILKES-BARRE CLINIC COMPANY LLC
NPI 1144533670
Surgery in Wilkes Barre, PA
About Wilkes-barre Clinic Company Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILKES-BARRE CLINIC COMPANY LLC (NPI 1144533670) is a healthcare organization registered as a surgery in Wilkes Barre, Pennsylvania and active in the NPI registry since July 2010. The organization maintains a secondary practice location in Kingston and lists Jennifer L Jackson, Senior Director Provider Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wilkes-barre Clinic Company Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Wilkes-Barre Clinic Company LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wilkes-Barre Clinic Company LLC's NPI number?
The NPI number for Wilkes-Barre Clinic Company LLC is 1144533670. It was assigned to this organization in the NPPES registry on July 26, 2010.
Where is Wilkes-Barre Clinic Company LLC located?
Wilkes-Barre Clinic Company LLC is located at 575 N River St, Wilkes Barre, PA 18702. The listed phone number is (570) 552-1300.
What is Wilkes-Barre Clinic Company LLC's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Wilkes-Barre Clinic Company LLC enrolled in Medicare?
Yes. Wilkes-Barre Clinic Company LLC is registered in the Medicare PECOS enrollment system.
When is Wilkes-Barre Clinic Company LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Wilkes-Barre Clinic Company LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Wilkes-Barre Clinic Company LLC. 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 Radiation Oncology (3), General Surgery (1) and Nurse Practitioner (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Wilkes-Barre Clinic Company LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Wilkes-Barre Clinic Company LLC 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 Wilkes-Barre Clinic Company LLC was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Wilkes-Barre Clinic Company Llc · NPI 1144533670
Surgery organization in Wilkes Barre, Pennsylvania. Organization record, active in the CMS NPPES registry since July 26, 2010.
## Identity
- **NPI:** 1144533670 (Entity type: Organization)
- **Enumerated:** July 26, 2010
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Jackson, SENIOR DIRECTOR PROVIDER ENROLLMENT
## Practice location
- **Address:** 575 N RIVER ST, Wilkes Barre, PA 18702-2634
- **Phone:** (570) 552-1300 · **Fax:** (570) 552-1498
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Radiation Oncology (3), General Surgery (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2022
- **Other identifiers:** Medicaid 102514239 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1144533670) · Data from the CMS NPPES public registry.