MARY KATHRYN WALDREP CRNP
NPI 1881576247
Nurse Practitioner - Family in Honesdale, PA
About Mary Kathryn Waldrep Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY KATHRYN WALDREP CRNP (NPI 1881576247) is an individual family provider in Honesdale, Pennsylvania, licensed in Pennsylvania (SP033089) and active in the NPI registry since July 2025. The provider is enrolled in Medicare PECOS, is affiliated with Wayne Memorial Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Kathryn Waldrep Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wayne Memorial Hospital
Acute Care Hospitals · Honesdale, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Mary Waldrep's NPI number?
The NPI number for Mary Waldrep is 1881576247. It was assigned to this individual provider in the NPPES registry on July 24, 2025.
Where is Mary Waldrep located?
Mary Waldrep practices at 201 Park St, Honesdale, PA 18431. The listed phone number is (352) 299-3055.
What is Mary Waldrep's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Waldrep enrolled in Medicare?
Yes. Mary Waldrep is registered in the Medicare PECOS enrollment system.
Is Mary Waldrep affiliated with any hospitals?
According to CMS data, Mary Waldrep is affiliated with Wayne Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Mary Waldrep was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mary Kathryn Waldrep, CRNP · NPI 1881576247
Family physician in Honesdale, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 24, 2025.
## Identity
- **NPI:** 1881576247 (Entity type: Individual)
- **Enumerated:** July 24, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP033089 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 PARK ST, Honesdale, PA 18431-2051
- **Phone:** (352) 299-3055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1881576247) · Data from the CMS NPPES public registry.