SUSAN PETOKAS CRNP
NPI 1467767590
Nurse Practitioner in Scranton, PA

Q: What is Susan Petokas's NPI number?

The NPI number for Susan Petokas is 1467767590. It was assigned to this individual provider in the NPPES registry on August 12, 2010.

Q: What is Susan Petokas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Petokas was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 12, 2010PECOS Enrolled

820 S WASHINGTON AVE, SCRANTON, PA 18505(570) 595-4496(570) 961-3844 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2024, Feb 2, 2016 (2 updates tracked since 2016).

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About Susan Petokas Crnp NPPES

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

SUSAN PETOKAS CRNP (NPI 1467767590) is an individual nurse practitioner in Scranton, Pennsylvania, licensed in Pennsylvania (SP001243B) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hazleton, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1467767590

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSUSAN PETOKASCredential: CRNP

Location Address820 S WASHINGTON AVEScranton, PA 18505-1639

Mailing Address15 Public Sq Ste 600Wilkes Barre, PA 18701-1704 · (570) 826-1777 · Fax (570) 823-3450

Phone(570) 595-4496

Fax(570) 961-3844

Sole ProprietorYes

Medical School CMSOtherGraduated 1982

Enumeration DateAugust 12, 2010

Last NPPES UpdateAugust 16, 20242 updates tracked since enumeration

NPPES CertifiedAugust 16, 2024

✔ NPI 1467767590 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 · SP001243B

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 SP001243B (PA)

820 S WASHINGTON AVE, Scranton, PA 18505

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Secondary Practice Location 1

Location 110 W Chestnut St Ste 9Hazleton, PA 18201-6419 · Phone (570) 826-1777 · Fax (570) 823-3450

Other Identifiers 5

Medicaid1007678420050PA

Medicaid1026041580002PA

Medicaid1007678420035PA

Medicaid102604158004PA

Medicaid102604158005PA

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Petokas Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719297357

PECOS Enrollment IDI20260723005213

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 Reassignment

Medicare enrollment records show Susan Petokas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Maternal & Family Health Services Inc

1.4 mi

Clinic/Center

820 S WASHINGTON AVE
Scranton, PA 18510

Reassigned Medicare billing, Pennsylvania enrollment
8 clinicians in this Medicare group

NPI 1740669530 (570) 961-5550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18505 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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIA GENEVA LIN CRNP

Nurse Practitioner