PRIMEMED MEDICAL GRP PECKVILLE IN COLLABORATION W/GEISINGER CLINIC
NPI 1528475100
Family Medicine in Peckville, PA

Active since July 16, 2014CLIA 39D0948576 · Waiver
320 KEYSTONE AVE, PECKVILLE, PA 18452(570) 489-0871(570) 489-8021 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Primemed Medical Grp Peckville In Collaboration W/geisinger Clinic NPPES

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

PRIMEMED MEDICAL GRP PECKVILLE IN COLLABORATION W/GEISINGER CLINIC (NPI 1528475100) is a healthcare organization registered as a family medicine in Peckville, Pennsylvania and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through July 13, 2028 and lists Cindy L Mull, Director Revenue Managment, as its authorized official.

NPPES Registry Identity

NPI1528475100
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGEISINGER CLINIC
Location Address320 KEYSTONE AVEPeckville, PA 18452-2242
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-5555
Fax(570) 489-8021
Organization SubpartNo
Authorized OfficialCindy L MullDirector Revenue Managment · (570) 271-5555
Enumeration DateJuly 16, 2014
Last NPPES UpdateNovember 12, 2014
✔ NPI 1528475100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
320 KEYSTONE AVE, Peckville, PA 18452

Other Names 1

Doing Business AsPrimemed Medical Grp Peckville In Collaboration W/geisinger Clinic

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)

Primemed Medical Grp Peckville In Collaboration W/geisinger Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4,415

Medicare enrollment records show 4,415 clinicians reassign Medicare billing to Primemed Medical Grp Peckville In Collaboration W/Geisinger Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 476 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 72

Nurse Practitioner566
Certified Registered Nurse Anesthetist (CRNA)411
Internal Medicine361
Emergency Medicine276
Diagnostic Radiology272
Family Practice245
Pediatric Medicine218
Hospitalist213
64 other specialties1,853

Nearest to this location (20)

See all 4,415
Internal Medicine
NPI 1053381590
320 KEYSTONE AVE
Peckville, PA 18452
(570) 489-0871
✔ PECOSSame address
Internal Medicine
NPI 1598745499
320 KEYSTONE AVE
Peckville, PA 18452
(570) 489-0871
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1750361168
320 KEYSTONE AVE
Peckville, PA 18452
(570) 489-0871
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1386222750
320 KEYSTONE AVE
Peckville, PA 18452
(570) 489-0871
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295193878
1400 MAIN ST
Peckville, PA 18452
(570) 307-7600
✔ PECOS✔ Accepts Medicare0.7 mi
Internal Medicine
NPI 1306878178
407 THIRD AVE
Jessup, PA 18434
(570) 383-7922
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1336129212
407 3RD AVE
Jessup, PA 18434
(570) 383-7922
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1902314180
221 RIVER ST
Olyphant, PA 18447
(570) 383-3636
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1972583995
221 RIVER ST
Olyphant, PA 18447
(570) 383-3636
✔ PECOS✔ Accepts Medicare1.2 mi
Medical Oncology
NPI 1477562478
703 MARTIN F GIBBONS BLVD
Dickson City, PA 18519
(570) 846-2340
✔ PECOS✔ Accepts Medicare1.5 mi
Hematology/Oncology
NPI 1760682835
703 MARTIN F GIBBONS BLVD
Dickson City, PA 18519
(570) 846-2340
✔ PECOS✔ Accepts Medicare1.5 mi
Radiation Oncology
NPI 1841877628
703 MARTIN F GIBBONS BLVD
Dickson City, PA 18519
(570) 846-2340
✔ PECOS1.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1982154332
308 MONICA DR
Archbald, PA 18403
(570) 468-4397
✔ Accepts Medicare1.6 mi
Gastroenterology
NPI 1104864966
681 SCRANTON CARBONDALE HWY
Eynon, PA 18403
(570) 876-5900
✔ PECOS✔ Accepts Medicare1.7 mi
Orthopedic Surgery
NPI 1922622257
334 MAIN ST
Dickson City, PA 18519
(570) 307-1767
✔ PECOS✔ Accepts Medicare3.2 mi
Internal Medicine
NPI 1053842310
330 MAIN ST
Dickson City, PA 18519
(570) 330-5000
✔ PECOS✔ Accepts Medicare3.2 mi
Pediatric Medicine
NPI 1124085808
5 S WASHINGTON AVE
Jermyn, PA 18433
(570) 230-0019
✔ PECOS3.5 mi
Clinical Social Worker
NPI 1346769221
5 S WASHINGTON AVE
Jermyn, PA 18433
(570) 383-9934
✔ PECOS3.6 mi
Pulmonary Disease
NPI 1942288212
432 SCRANTON CARBONDALE HWY
Scranton, PA 18508
(570) 346-8620
✔ PECOS3.9 mi
Diagnostic Radiology
NPI 1487816187
435 SCRANTON CARBONDALE HWY
Scranton, PA 18508
(570) 343-4334
✔ PECOS✔ Accepts Medicare3.9 mi
See all 4,415 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0948576

Primemed PC · Peckville, PA
Active · expires Jul 13, 2028
CLIA Number39D0948576
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2026
Certificate Expiration DateJuly 13, 2028
Laboratory DirectorDr. Anthony W. Freda
Laboratory Phone(570) 489-0871
Laboratory LocationPrimemed PC320 Keystone Avenue, Peckville, PA 18452
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Geisinger Clinic's NPI number?

The NPI number for Geisinger Clinic is 1528475100. It was assigned to this organization in the NPPES registry on July 16, 2014. The provider is doing business as Primemed Medical Grp Peckville In Collaboration W/Geisinger Clinic.

Where is Geisinger Clinic located?

Geisinger Clinic is located at 320 Keystone Ave, Peckville, PA 18452. The listed phone number is (570) 489-0871.

What is Geisinger Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Geisinger Clinic enrolled in Medicare?

Yes. Geisinger Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Geisinger Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 4,415 clinicians in 72 Medicare specialties reassign their Medicare billing to Geisinger Clinic. 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 (566), Certified Registered Nurse Anesthetist (CRNA) (411) and Internal Medicine (361). Of these, 4 practice at this address and 476 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Geisinger Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0948576) is associated with this NPI, valid through July 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Geisinger Clinic accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Geisinger Clinic 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 Geisinger Clinic was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.