SCRANTON CARDIOVASCULAR PHYSICIAN SERVICES LLC
NPI 1366725418
Internal Medicine - Cardiovascular Disease in Scranton, PA

Active since September 26, 2011
743 JEFFERSON AVE STE 305, SCRANTON, PA 18510(570) 342-1776(570) 207-1910 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 26, 2022, Sep 21, 2021 (2 updates tracked since 2021).

About Scranton Cardiovascular Physician Services Llc NPPES

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

SCRANTON CARDIOVASCULAR PHYSICIAN SERVICES LLC (NPI 1366725418) is a healthcare organization registered as a cardiovascular disease in Scranton, Pennsylvania and active in the NPI registry since September 2011. The organization lists Jennifer L Jackson, Senior Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1366725418
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSCRANTON CARDIOVASCULAR PHYSICIAN SERVICES LLC
Location Address743 JEFFERSON AVE STE 305Scranton, PA 18510-1639
Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7000 · Fax (615) 628-6877
Fax(570) 207-1910
Organization SubpartNo
Authorized OfficialJennifer L JacksonSenior Director Provider Enrollment · (877) 892-9815
Enumeration DateSeptember 26, 2011
Last NPPES UpdateJanuary 26, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2022
✔ NPI 1366725418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNurse PractitionerTaxonomy 363L00000X
743 JEFFERSON AVE STE 305, Scranton, PA 18510

Other Identifiers 2

Medicaid102687606-0001PA
Other237294Medicare

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)

Scranton Cardiovascular Physician Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Scranton Cardiovascular Physician Services LLC, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 18 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner7
Cardiovascular Disease (Cardiology)5
Cardiac Electrophysiology3
Interventional Cardiology3
Thoracic Surgery1

Clinicians, nearest first (19)

Interventional Cardiology
NPI 1619226677
743 JEFFERSON AVE STE 305
Scranton, PA 18510
(570) 342-1776
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982113254
743 JEFFERSON AVE STE 305
Scranton, PA 18510
(570) 342-1776
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1306070735
743 JEFFERSON AVE SUITE 305
Scranton, PA 18510
(570) 342-1776
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972988327
743 JEFFERSON AVE SUITE 104
Scranton, PA 18510
(570) 558-0182
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1588856678
746 JEFFERSON AVE SUITE 305
Scranton, PA 18510
(570) 342-1776
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1295730182
746 JEFFERSON AVENUE SUITE 305
Scranton, PA 18510
(570) 342-1776
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1760487060
746 JEFFERSON AVE STE 305
Scranton, PA 18510
(570) 342-1776
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1689679011
746 JEFFERSON AVE STE 305
Scranton, PA 18510
(570) 342-1776
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1306841747
746 JEFFERSON AVE SUITE 305
Scranton, PA 18510
(570) 342-1776
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1558339143
746 JEFFERSON AVE SUITE 305
Scranton, PA 18510
(570) 342-1776
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215900121
746 JEFFERSON AVE SUITE 305
Scranton, PA 18510
(570) 342-1776
✔ PECOSSame address
Nurse Practitioner
NPI 1952736472
746 JEFFERSON AVE STE 305
Scranton, PA 18510
(570) 342-1776
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811494305
746 JEFFERSON AVE STE 305
Scranton, PA 18510
(570) 342-1776
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790758696
746 JEFFERSON AVE SUITE 305
Scranton, PA 18510
(570) 342-1776
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1033114467
746 JEFFERSON AVE SUITE 305
Scranton, PA 18510
(570) 342-1776
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1639165111
720 MADISON AVE
Scranton, PA 18510
(570) 343-1115
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1306841739
3 W OLIVE ST
Scranton, PA 18508
(570) 703-4830
✔ PECOS✔ Accepts Medicare0.6 mi
Cardiac Electrophysiology
NPI 1659467330
1800 MULBERRY ST
Scranton, PA 18510
(570) 703-8864
✔ PECOS✔ Accepts Medicare1.0 mi
Cardiovascular Disease (Cardiology)
NPI 1427043553
740 HIGH ST STE 2001
Williamsport, PA 17701
(570) 321-2800
✔ PECOS✔ Accepts Medicare72 mi

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 Scranton Cardiovascular Physician Services LLC's NPI number?

The NPI number for Scranton Cardiovascular Physician Services LLC is 1366725418. It was assigned to this organization in the NPPES registry on September 26, 2011.

Where is Scranton Cardiovascular Physician Services LLC located?

Scranton Cardiovascular Physician Services LLC is located at 743 Jefferson Ave Ste 305, Scranton, PA 18510. The listed phone number is (570) 342-1776.

What is Scranton Cardiovascular Physician Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Scranton Cardiovascular Physician Services LLC enrolled in Medicare?

Yes. Scranton Cardiovascular Physician Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scranton Cardiovascular Physician Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 5 Medicare specialties reassign their Medicare billing to Scranton Cardiovascular Physician Services 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 (7), Cardiovascular Disease (Cardiology) (5) and Cardiac Electrophysiology (3). Of these, 15 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Scranton Cardiovascular Physician Services LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Scranton Cardiovascular Physician Services 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 Scranton Cardiovascular Physician Services LLC was last updated on January 26, 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.