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CAROL A MEDURA CRNP
NPI 1588918650
Nurse Practitioner - Family in Nanticoke, PA

Active since October 29, 2012PECOS EnrolledAccepts Medicare Assignment
233 S PROSPECT ST, NANTICOKE, PA 18634(570) 735-0102 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Carol A Medura Crnp NPPES

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

CAROL A MEDURA CRNP (NPI 1588918650) is an individual family provider in Nanticoke, Pennsylvania, licensed in Pennsylvania (SP012432) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and maintains a secondary practice location in Wilkes Barre Township.

NPPES Registry Identity

NPI1588918650
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL A MEDURACredential: CRNP
Location Address233 S PROSPECT STNanticoke, PA 18634-2443
Mailing Address89 Fawn Ridge RdWhite Haven, PA 18661-3623 · (570) 443-0614
Phone(570) 735-0102
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 29, 2012
Last NPPES UpdateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1588918650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP012432
233 S PROSPECT ST, Nanticoke, PA 18634
Open in Google Maps ↗

Secondary Practice Location 1

Location 1677 Kidder St Ste DWilkes Barre Township, PA 18702-6914 · Phone (570) 825-2046

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carol A Medura 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 ID3779737986
PECOS Enrollment IDI20130215000238
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.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
318 services307 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
290 services279 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
86 services83 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
61 services57 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390237
Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18634 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 2

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

JANUSZ WOLANIN MD
Family Medicine
233 S PROSPECT ST
NANTICOKE, PA 18634
Luzerne County (570) 735-0102
JANUSZ F WOLANIN MD
Family Medicine
233 S PROSPECT ST
NANTICOKE, PA 18634
Luzerne County (570) 735-0102

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 Carol Medura's NPI number?

The NPI number for Carol Medura is 1588918650. It was assigned to this individual provider in the NPPES registry on October 29, 2012.

Where is Carol Medura located?

Carol Medura practices at 233 S Prospect St, Nanticoke, PA 18634. The listed phone number is (570) 735-0102.

What is Carol Medura's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carol Medura enrolled in Medicare?

Yes. Carol Medura 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.

What insurance does Carol Medura accept?

Health plans from Oscar Insurance Company list Carol Medura 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.

Is Carol Medura affiliated with any hospitals?

According to CMS data, Carol Medura is affiliated with Wilkes-Barre General Hospital and Regional Hospital Of Scranton.

When was this NPI record last updated?

The NPPES record for Carol Medura was last updated on June 12, 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.