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GEISINGER WYOMING VALLEY
NPI 1164274247
Clinic/Center in Scranton, PA

Active since April 03, 2024
3 W OLIVE ST, SCRANTON, PA 18508(570) 558-2140(570) 558-2141 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 12, 2025, Apr 3, 2024 (2 updates tracked since 2024).

About Geisinger Wyoming Valley NPPES

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

GEISINGER WYOMING VALLEY (NPI 1164274247) is a healthcare organization registered as a clinic/center in Scranton, Pennsylvania and active in the NPI registry since April 2024. The organization lists Cindy L Mull, System Director Credentialing, as its authorized official.

NPPES Registry Identity

NPI1164274247
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGEISINGER WYOMING VALLEY
Location Address3 W OLIVE STScranton, PA 18508-2572
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Phone(570) 558-2140
Fax(570) 558-2141
Organization SubpartNo
Authorized OfficialCindy L MullSystem Director Credentialing · (570) 271-6603
Enumeration DateApril 3, 2024
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1164274247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
3 W OLIVE ST, Scranton, PA 18508
Open in Google Maps ↗

Other Identifiers 1

Other390270PA · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Geisinger Wyoming Valley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20040901000618Part A · HospitalDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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.

DR. JAN GOLDEN D.P.M.
Podiatrist (Foot & Ankle Surgery)
3 W OLIVE ST
SCRANTON, PA 18508
Lackawanna County (570) 961-3823
ALICIA KATHLEEN CRINELLA PA-C
Surgery (Vascular Surgery)
3 W OLIVE ST
SCRANTON, PA 18508
Lackawanna County (570) 961-3823
KELLY BABINSKI CRNP
Nurse Practitioner
3 W OLIVE ST
SCRANTON, PA 18508
Lackawanna County (570) 558-2140
SARA CURMACI PT
Physical Therapist
3 W OLIVE ST, SUITE 118
SCRANTON, PA 18508
Lackawanna County (570) 961-8786
MS. JULIANNE A MARIANELLI CRNP
Nurse Practitioner
3 W OLIVE ST
SCRANTON, PA 18508
Lackawanna County (570) 207-6299
DR. BRIAN MICHAEL CEBULKO PHARMD
Pharmacist
3 W OLIVE ST
SCRANTON, PA 18508
Lackawanna County (570) 207-5970
CATHERINE B MCGRATH AU.D.
Audiologist
3 W OLIVE ST, SUITE 106
SCRANTON, PA 18508
Lackawanna County (570) 344-0744
DR. NIDHI BANSAL MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3 W OLIVE ST
SCRANTON, PA 18508
Lackawanna County (570) 207-6300

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 Geisinger Wyoming Valley's NPI number?

The NPI number for Geisinger Wyoming Valley is 1164274247. It was assigned to this organization in the NPPES registry on April 3, 2024.

Where is Geisinger Wyoming Valley located?

Geisinger Wyoming Valley is located at 3 W Olive St, Scranton, PA 18508. The listed phone number is (570) 558-2140.

What is Geisinger Wyoming Valley's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Geisinger Wyoming Valley enrolled in Medicare?

Yes. Geisinger Wyoming Valley is registered in the Medicare PECOS enrollment system.

When is Geisinger Wyoming Valley's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Pennsylvania, Hospital) is due for revalidation by February 28, 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.

What insurance does Geisinger Wyoming Valley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Geisinger Wyoming Valley 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 Wyoming Valley was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.