GEISINGER WYOMING VALLEY MEDICAL CENTER
NPI 1437551868
Clinic/Center - Multi-Specialty in Wilkes Barre, PA

Q: What is Geisinger Wyoming Valley Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since September 17, 2014

1155 E MOUNTAIN BLVD, WILKES BARRE, PA 18702(570) 808-6444(570) 808-5031 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 2, 2019, Jan 9, 2019 (2 updates tracked since 2019).

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About Geisinger Wyoming Valley Medical Center NPPES

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

GEISINGER WYOMING VALLEY MEDICAL CENTER (NPI 1437551868) is a healthcare organization registered as a multi-specialty in Wilkes Barre, Pennsylvania and active in the NPI registry since September 2014. The organization lists Cindy Mull, Director Of Revenue Management, as its authorized official.

NPPES Registry Identity

NPI1437551868

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameGEISINGER WYOMING VALLEY MEDICAL CENTER

Location Address1155 E MOUNTAIN BLVDWilkes Barre, PA 18702-7906

Mailing Address100 North Academy AvenueDanville, PA 17822

Phone(570) 808-6444

Fax(570) 808-5031

Organization SubpartNo

Authorized OfficialCindy MullDirector Of Revenue Management · (570) 271-6603

Enumeration DateSeptember 17, 2014

Last NPPES UpdateJuly 2, 20192 updates tracked since enumeration

✔ NPI 1437551868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

License✔ Licensed in PA · 148901

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

1155 E MOUNTAIN BLVD, Wilkes Barre, PA 18702

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Other Identifiers 3

OtherDMEPA · 7593410002

OtherDMEPA · 7593410001

Other390270Medicare

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 Medical Center 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.

MRS. CAROLYN TERESA CLARK RN BSN

Registered Nurse