LAKE SCRANTON URGENT CARE LLC
NPI 1194186957
Clinic/Center - Urgent Care in Scranton, PA

Active since March 08, 2016CLIA 39D2284610 · Waiver
1141 MOOSIC ST, SUITE 3, SCRANTON, PA 18505(570) 800-5926(570) 955-5556 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 30, 2023, Mar 28, 2017, Oct 10, 2016 and 1 more (4 updates tracked since 2016).

About Lake Scranton Urgent Care Llc NPPES

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

LAKE SCRANTON URGENT CARE LLC (NPI 1194186957) is a healthcare organization registered as an urgent care in Scranton, Pennsylvania and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Brianne Balchune, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194186957
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameLAKE SCRANTON URGENT CARE LLC
Location Address1141 MOOSIC ST, SUITE 3Scranton, PA 18505-2105
Mailing Address1141 Moosic St, Suite 3Scranton, PA 18505-2105 · (570) 800-5926 · Fax (570) 955-5556
Fax(570) 955-5556
Organization SubpartNo
Authorized OfficialBrianne BalchuneOffice Manager · (570) 800-5926
Enumeration DateMarch 8, 2016
Last NPPES UpdateMarch 30, 20234 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1194186957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Emergency CareTaxonomy 261QE0002X
1141 MOOSIC ST, Scranton, PA 18505

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Lake Scranton Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Lake Scranton Urgent Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Internal Medicine
NPI 1235332263
1141 MOOSIC ST STE 3
Scranton, PA 18505
(570) 800-5926
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1275501264
521 ASH ST SUITE 1
Dunmore, PA 18509
(570) 344-2244
✔ PECOS✔ Accepts Medicare1.4 mi
Internal Medicine
NPI 1114993227
2232 PITTSTON AVE
Scranton, PA 18505
(570) 340-2100
✔ PECOS1.9 mi
Nurse Practitioner
NPI 1720301575
438 ASH ST
Bethany, PA 18431
(570) 253-8048
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1932616356
103 SPRUCE ST STE 201
Hawley, PA 18428
(570) 390-4545
✔ PECOS25 mi
Family Practice
NPI 1023069457
52 EAST MARKET STREET
Tresckow, PA 18254
(570) 459-2070
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1740699636
200 E BROWN ST
East Stroudsburg, PA 18301
(570) 476-3700
✔ PECOS37 mi
Nurse Practitioner
NPI 1831530427
1401 ROOSEVELT AVE
York, PA 17404
(717) 851-1405
✔ PECOS114 mi

Source: 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 2

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 39D2284610

Lake Scranton Renew Center · Scranton, PA
Active · expires Jun 26, 2027
CLIA Number39D2284610
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorDr. Julie M. Speicher
Laboratory Phone(570) 955-0786
Laboratory LocationLake Scranton Renew Center1141 Moosic St, Ste 3, Scranton, PA 18505
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2118562

Lake Scranton Urgent Care · Scranton, PA
Expired · Sep 10, 2026
CLIA Number39D2118562
Laboratory TypeUrgent Care
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorDr. Julie M. Speicher
Laboratory Phone(855) 990-2273
Laboratory LocationLake Scranton Urgent Care1141 Moosic Street Suite 3, Scranton, PA 18505
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Lake Scranton Urgent Care LLC's NPI number?

The NPI number for Lake Scranton Urgent Care LLC is 1194186957. It was assigned to this organization in the NPPES registry on March 8, 2016.

Where is Lake Scranton Urgent Care LLC located?

Lake Scranton Urgent Care LLC is located at 1141 Moosic St Suite 3, Scranton, PA 18505. The listed phone number is (570) 800-5926.

What is Lake Scranton Urgent Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Lake Scranton Urgent Care LLC enrolled in Medicare?

Yes. Lake Scranton Urgent Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Scranton Urgent Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Lake Scranton Urgent Care 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 Nurse Practitioner (4), Internal Medicine (3) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lake Scranton Urgent Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2284610) is associated with this NPI, valid through June 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Scranton Urgent Care LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lake Scranton Urgent Care 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 Lake Scranton Urgent Care LLC was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.