ISE KANNEBECKER CRNP
NPI 1790156578
Nurse Practitioner in Lake Como, PA

Active since October 19, 2015PECOS Enrolled
412 COMO RD, LAKE COMO, PA 18437(570) 798-2828(570) 798-2636 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ise Kannebecker Crnp NPPES

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

ISE KANNEBECKER CRNP (NPI 1790156578) is an individual nurse practitioner in Lake Como, Pennsylvania, licensed in Pennsylvania (SP015305) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790156578
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameISE KANNEBECKERCredential: CRNP
Location Address412 COMO RDLake Como, PA 18437-1020
Mailing Address601 Park StHonesdale, PA 18431-1445 · (570) 253-8226 · Fax (570) 253-8228
Fax(570) 798-2636
Sole ProprietorNo
Enumeration DateOctober 19, 2015
Last NPPES UpdateApril 6, 2023
NPPES CertifiedApril 6, 2023
NPI 1790156578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP015305
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

412 COMO RD, Lake Como, PA 18437

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ise Kannebecker Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18437 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

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

Family Medicine
412 COMO RD
LAKE COMO, PA 18437

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 Ise Kannebecker's NPI number?

The NPI number for Ise Kannebecker is 1790156578. It was assigned to this individual provider in the NPPES registry on October 19, 2015.

Where is Ise Kannebecker located?

Ise Kannebecker practices at 412 Como Rd, Lake Como, PA 18437. The listed phone number is (570) 798-2828.

What is Ise Kannebecker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ise Kannebecker enrolled in Medicare?

Yes. Ise Kannebecker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ise Kannebecker was last updated on April 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.