PENNSYLVANIA PHYSICIAN SERVICES, LLC
NPI 1497059802
Emergency Medicine in Wilkes Barre, PA
About Pennsylvania Physician Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENNSYLVANIA PHYSICIAN SERVICES, LLC (NPI 1497059802) is a healthcare organization registered as an emergency medicine in Wilkes Barre, Pennsylvania and active in the NPI registry since December 2010. The organization lists Kim H Larsen, Director Of Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pennsylvania Physician Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
110Medicare enrollment records show 110 clinicians reassign Medicare billing to Pennsylvania Physician Services, LLC, which bills Medicare for the services they deliver. Of these, 24 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 110Source: 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 Pennsylvania Physician Services, LLC's NPI number?
The NPI number for Pennsylvania Physician Services, LLC is 1497059802. It was assigned to this organization in the NPPES registry on December 28, 2010.
Where is Pennsylvania Physician Services, LLC located?
Pennsylvania Physician Services, LLC is located at 575 N River St, Wilkes Barre, PA 18764. The listed phone number is (570) 829-8111.
What is Pennsylvania Physician Services, LLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Pennsylvania Physician Services, LLC enrolled in Medicare?
Yes. Pennsylvania Physician Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pennsylvania Physician Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 110 clinicians in 5 Medicare specialties reassign their Medicare billing to Pennsylvania 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 Emergency Medicine (75), Nurse Practitioner (22) and Internal Medicine (8). Of these, 24 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pennsylvania Physician Services, LLC was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Pennsylvania Physician Services, Llc · NPI 1497059802
Emergency Medicine organization in Wilkes Barre, Pennsylvania. Organization record, active in the CMS NPPES registry since December 28, 2010.
## Identity
- **NPI:** 1497059802 (Entity type: Organization)
- **Enumerated:** December 28, 2010
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Kim Larsen, DIRECTOR OF CREDENTIALING
## Practice location
- **Address:** 575 N RIVER ST, Wilkes Barre, PA 18764-0001
- **Phone:** (570) 829-8111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 110 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (75), Nurse Practitioner (22), Internal Medicine (8); 24 practice within 10 miles; [full list](https://npiprofile.com/npi/1497059802/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1497059802) · Data from the CMS NPPES public registry.