FARHANA BAGUM CRNP
NPI 1770307761
Nurse Practitioner - Primary Care in Willow Street, PA

Q: What is Farhana Bagum's NPI number?

The NPI number for Farhana Bagum is 1770307761. It was assigned to this individual provider in the NPPES registry on November 14, 2024.

Q: What is Farhana Bagum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Farhana Bagum was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 November 14, 2024PECOS EnrolledAccepts Medicare Assignment

2605 WILLOW STREET PIKE N, WILLOW STREET, PA 17584(717) 464-2838 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2025, Nov 14, 2024 (2 updates tracked since 2024).

On this page

About Farhana Bagum Crnp NPPES

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

FARHANA BAGUM CRNP (NPI 1770307761) is an individual primary care provider in Willow Street, Pennsylvania, licensed in Pennsylvania (SP031338) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Penn State Health St. Joseph, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1770307761

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameFARHANA BAGUMCredential: CRNP

Location Address2605 WILLOW STREET PIKE NWillow Street, PA 17584-9510

Mailing Address2605 Willow Street Pike NWillow Street, PA 17584-9510 · (717) 464-2838 · Fax (717) 723-4365

Phone(717) 464-2838

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 14, 2024

Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1770307761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in PA · SP031338

2605 WILLOW STREET PIKE N, Willow Street, PA 17584

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Farhana Bagum 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 ID7719413921

PECOS Enrollment IDI20241211003609

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 3

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

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390096

Location2500 Bernville RoadReading, PA 19605 · Berks County

Emergency services Birthing friendly

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390100

Location555 North Duke StreetLancaster, PA 17602 · Lancaster County

Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390256

Location500 University DriveHershey, PA 17033 · Dauphin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17584 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 8

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

LYNN MA MD

Family Medicine