MR. JACK BOGART JR. CRNP
NPI 1790066223
Nurse Practitioner - Acute Care in Lewisburg, PA

Active since August 29, 2011PECOS EnrolledAccepts Medicare Assignment
3 HOSPITAL DR STE 206, LEWISBURG, PA 17837(570) 524-4141 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jack Bogart Jr. Crnp NPPES

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

MR. JACK BOGART JR. CRNP (NPI 1790066223) is an individual acute care provider in Lewisburg, Pennsylvania, licensed in Pennsylvania (SP011577) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Evangelical Community Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1790066223
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. JACK BOGART JR.Credential: CRNP
Location Address3 HOSPITAL DR STE 206Lewisburg, PA 17837-9394
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 29, 2011
Last NPPES UpdateNovember 28, 2025
NPPES CertifiedNovember 28, 2025
NPI 1790066223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in PA · SP011577
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License SP011577 (PA)
3 HOSPITAL DR STE 206, Lewisburg, PA 17837

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

Mr. Jack Bogart Jr. 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 ID2769653443
PECOS Enrollment IDI20110929000526
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Evangelical Community Hospital

Acute Care Hospitals · Lewisburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390013
LocationOne Hospital DriveLewisburg, PA 17837 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17837 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 6

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

Internal Medicine
3 HOSPITAL DR STE 206
LEWISBURG, PA 17837
Psychiatry & Neurology (Vascular Neurology)
3 HOSPITAL DR STE 206
LEWISBURG, PA 17837
Internal Medicine (Critical Care Medicine)
3 HOSPITAL DR STE 206
LEWISBURG, PA 17837
Internal Medicine (Critical Care Medicine)
3 HOSPITAL DR STE 206
LEWISBURG, PA 17837
Nurse Practitioner (Critical Care Medicine)
3 HOSPITAL DR STE 206
LEWISBURG, PA 17837
Physician Assistant (Medical)
3 HOSPITAL DR STE 206
LEWISBURG, PA 17837

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 Jack Bogart's NPI number?

The NPI number for Jack Bogart is 1790066223. It was assigned to this individual provider in the NPPES registry on August 29, 2011.

Where is Jack Bogart located?

Jack Bogart practices at 3 Hospital Dr Ste 206, Lewisburg, PA 17837. The listed phone number is (570) 524-4141.

What is Jack Bogart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jack Bogart enrolled in Medicare?

Yes. Jack Bogart 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.

Is Jack Bogart affiliated with any hospitals?

According to CMS data, Jack Bogart is affiliated with Evangelical Community Hospital.

When was this NPI record last updated?

The NPPES record for Jack Bogart was last updated on November 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.