CHRISTINE RITA WYSOCKY
NPI 1609484740
Nurse Practitioner - Family in Hazleton, PA

Q: What is Christine Wysocky's NPI number?

The NPI number for Christine Wysocky is 1609484740. It was assigned to this individual provider in the NPPES registry on July 15, 2020.

Q: What is Christine Wysocky's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Christine Wysocky was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 July 15, 2020PECOS EnrolledAccepts Medicare Assignment

141 N VINE ST, HAZLETON, PA 18201(570) 454-0500 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2020, Jul 15, 2020 (2 updates tracked since 2020).

On this page

About Christine Rita Wysocky NPPES

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

CHRISTINE RITA WYSOCKY (NPI 1609484740) is an individual family provider in Hazleton, Pennsylvania, licensed in Pennsylvania (SP022285) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and maintains a secondary practice location in Kingston.

NPPES Registry Identity

NPI1609484740

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCHRISTINE RITA WYSOCKY

Location Address141 N VINE STHazleton, PA 18201-5852

Mailing Address72 Lions DrDrums, PA 18222-2336 · (570) 751-3028

Phone(570) 454-0500

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 15, 2020

Last NPPES UpdateSeptember 23, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2025

✔ NPI 1609484740 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

Licenses✔ Licensed in PA · SP022285✔ Licensed in PA · 607823

141 N VINE ST, Hazleton, PA 18201

Open in Google Maps ↗

Secondary Practice Location 1

Location 12 Sharpe StKingston, PA 18704-3715 · Phone (570) 491-0126 · Fax (570) 230-0013

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Christine Rita Wysocky 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 ID3678998481

PECOS Enrollment IDI20200810002934

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.

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

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number390185

Location700 East Broad StreetHazleton, PA 18201 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18201 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 7

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

NOELLE DOMINIQUE ALTAVILLA RD, LDN

Dietitian, Registered