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NANCY OHORA SCHIMELFENIG CRNP
NPI 1427396191
Nurse Practitioner in Nicholson, PA

Active since January 30, 2013PECOS EnrolledAccepts Medicare Assignment
RT. 11, LACKAWANNA TRAIL, NICHOLSON, PA 18446(570) 942-6124(570) 942-6193 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nancy Ohora Schimelfenig Crnp NPPES

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

NANCY OHORA SCHIMELFENIG CRNP (NPI 1427396191) is an individual nurse practitioner in Nicholson, Pennsylvania, licensed in Pennsylvania (SP012729) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1427396191
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNANCY OHORA SCHIMELFENIGCredential: CRNP
Location AddressRT. 11, LACKAWANNA TRAILNicholson, PA 18446-0591
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Phone(570) 942-6124
Fax(570) 942-6193
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 30, 2013
Last NPPES UpdateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1427396191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP012729
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP012729 (PA)
RT. 11, LACKAWANNA TRAIL, Nicholson, PA 18446
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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

Nancy Ohora Schimelfenig Crnp 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.

PECOS PAC ID4981859683
PECOS Enrollment IDI20130304000182
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Nancy Schimelfenig reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
2.7 mi
Family Medicine
RTE 11 LACKAWANNA TRAIL
Nicholson, PA 18446
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1902858301 (570) 942-6124
Supportive Care Of Pennsylvania LLC
96 mi
Clinical
20 ROBERT PITT DR, UNIT 209
Monsey, NY 10952
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 160 clinicians in this Medicare group
NPI 1174992275 (845) 826-0060
Geps Physician Group Of Pennsylvania PC
123 mi
Internal Medicine
101 E STATE ST
Kennett Square, PA 19348
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 90 clinicians in this Medicare group
NPI 1467471615 (610) 925-4157
Alignmed Medical Group, PC
161 mi
Geriatric Medicine
9200 FRANKLIN SQUARE DR
Baltimore, MD 21237
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 93 clinicians in this Medicare group
NPI 1366289423 (410) 391-2600
Signify Health Medical Associates, PLLC
1,302 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 553 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
219 services50 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
177 services51 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
51 services40 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
37 services33 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
14 services14 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18446 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress E0295
DME-Hospital Beds · category DB000N
1 supplier20 claims20 services$51.25 avg. paid by Medicare
Bed side rails, half length E0305
DME-Hospital Beds · category DB000N
1 supplier19 claims19 services$7.73 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier20 claims20 services$47.98 avg. paid by Medicare
Rollabout chair, any and all types with casters 5" or greater E1031
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$30.70 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$16.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nancy Schimelfenig's NPI number?

The NPI number for Nancy Schimelfenig is 1427396191. It was assigned to this individual provider in the NPPES registry on January 30, 2013.

Where is Nancy Schimelfenig located?

Nancy Schimelfenig practices at Rt. 11, Lackawanna Trail, Nicholson, PA 18446. The listed phone number is (570) 942-6124.

What is Nancy Schimelfenig's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nancy Schimelfenig enrolled in Medicare?

Yes. Nancy Schimelfenig 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 Nancy Schimelfenig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Schimelfenig reassigns Medicare benefits to 5 organizations: Geisinger Clinic (Nicholson, PA), Supportive Care Of Pennsylvania LLC (Monsey, NY), Geps Physician Group Of Pennsylvania PC (Kennett Square, PA), Alignmed Medical Group, PC (Baltimore, MD) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Nancy Schimelfenig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nancy Schimelfenig was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.