HERLINE RAPHAEL
NPI 1326584046
Nurse Practitioner in Stroudsburg, PA
About Herline Raphael NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERLINE RAPHAEL (NPI 1326584046) is an individual nurse practitioner in Stroudsburg, Pennsylvania, licensed in Pennsylvania (SP017091) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Wayne Memorial Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Herline Raphael is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
10Medicare enrollment records show Herline Raphael reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stroudsburg, PA 18360
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Effort, PA 18330
- Reassigned Medicare billing, Pennsylvania enrollment
- 2 clinicians in this Medicare group
Scranton, PA 18510
- Reassigned Medicare billing, Pennsylvania enrollment
- 98 clinicians in this Medicare group
Wilkes Barre, PA 18764
- Reassigned Medicare billing, Pennsylvania enrollment
- 76 clinicians in this Medicare group
Wilkes Barre, PA 18764
- Reassigned Medicare billing, Pennsylvania enrollment
- 78 clinicians in this Medicare group
Newburgh, NY 12550
- Reassigned Medicare billing, New York enrollment
- 12 clinicians in this Medicare group
Newburgh, NY 12550
- Reassigned Medicare billing, New York enrollment
- 12 clinicians in this Medicare group
Bronx, NY 10469
- Reassigned Medicare billing, New York enrollment
- 33 clinicians in this Medicare group
Bayside, NY 11354
- Reassigned Medicare billing, New York enrollment
- 35 clinicians in this Medicare group
Baldwin, NY 11510
- Reassigned Medicare billing, New York enrollment
- 52 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wayne Memorial Hospital
Acute Care Hospitals · Honesdale, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Herline Raphael's NPI number?
The NPI number for Herline Raphael is 1326584046. It was assigned to this individual provider in the NPPES registry on January 19, 2017.
Where is Herline Raphael located?
Herline Raphael practices at 104 Skinner Hill Rd, Stroudsburg, PA 18360. The listed phone number is (845) 641-9412.
What is Herline Raphael's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Herline Raphael enrolled in Medicare?
Yes. Herline Raphael is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Herline Raphael's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Herline Raphael reassigns Medicare benefits to 10 organizations: St Luke's Physician Group, Inc (Stroudsburg, PA), Snp Direct Paths LLC (Effort, PA), Advanced Inpatient Medicine PC (Scranton, PA), Pennsylvania Hospitalist Group, LLC (Wilkes Barre, PA), Advanced Inpatient Medicine Associates PC (Wilkes Barre, PA) and 5 more organizations, listed in the Medicare section above. Each 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 Herline Raphael's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Herline Raphael affiliated with any hospitals?
According to CMS data, Herline Raphael is affiliated with Wayne Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Herline Raphael was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Herline Raphael · NPI 1326584046
Nurse Practitioner physician in Stroudsburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 19, 2017.
## Identity
- **NPI:** 1326584046 (Entity type: Individual)
- **Enumerated:** January 19, 2017
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** SP017091 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 104 SKINNER HILL RD, Stroudsburg, PA 18360
- **Phone:** (845) 641-9412
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): St Luke's Physician Group, Inc (NPI 1326730342, Stroudsburg, PA); Snp Direct Paths LLC (NPI 1336687201, Effort, PA); Advanced Inpatient Medicine PC (NPI 1871725366, Scranton, PA); Pennsylvania Hospitalist Group, LLC (NPI 1558126342, Wilkes Barre, PA); Advanced Inpatient Medicine Associates PC (NPI 1396168589, Wilkes Barre, PA); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 19, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1326584046) · Data from the CMS NPPES public registry.