TRACY L ROCKEFELLER (NPI# 1346472057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346472057 |
| Entity Type | Individual |
| Full Name | TRACY L ROCKEFELLER |
| Credential | CRNP |
| Practice Address |
8 Church Street Medical Office Bldg 4th Floor Wilkes Barre PA 18765-9378 |
| Mailing Address |
1154 Beaver Lake Dr Lake Ariel PA 18436-8013 |
| Practice Telephone | 5708083100 |
| Mailing Telephone | 2674010669 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP010412 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2595 Interstate Dr, Suite 103, Harrisburg, PA 171109378 | 2674010669 | |
| 615 W Main St, Lansdale, PA 194462011 | 2159382863 |
| Street Address |
8 CHURCH STREET MEDICAL OFFICE BLDG 4TH FLOOR |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18765-9378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518933662 | Mary M Azarewicz | Physician Assistant | 25 Church Street, Wilkes Barre, PA 18765 | 2006-02-28 |
| 1093839078 | Geisinger Clinic | Physician Assistant | 25 Church St, Wilkes Barre, PA 18765 | 2007-03-16 |
| 1962530915 | Geisinger South Wilkes Barre | Clinic/Center | 25 Church St, Wilkes Barre, PA 18765 | 2007-03-01 |
| 1790811172 | Geisinger South Wilkes Barre | Clinic/Center | 25 Church Street, Wilkes Barre, PA 18765 | 2007-02-27 |
| 1013098078 | Geisinger South Wilkes-barre | Clinic/Center | 25 Church St, Wilkes Barre, PA 18765 | 2006-10-18 |
| 1659452613 | Geisinger South Wilkes Barre | General Acute Care Hospital | 25 Church St, Wilkes Barre, PA 18765 | 2006-10-18 |
| 1285725309 | John Edmund Edwards | Pharmacist | 25 Church St, Geisinger South Wilkes Barre, Wilkes Barre, PA 18765 | 2006-09-27 |
| 1023068533 | Geisinger South Wilkes Barre | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25 Church St, Wilkes Barre, PA 18765 | 2006-05-12 |
| 1033529466 | Jasmine Vincent | Pediatrics | 25 Church St, Wilkes Barre, PA 18765-0001 | 2014-05-07 |
| 1184693384 | Todd J. Holmes | Emergency Medicine | 25 Church St, Wilkes Barre, PA 18765-0001 | 2006-03-17 |
| Find all providers in zip 18765 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273574 | Michael F Robatin | Nurse Practitioner | 500 Scott St, Wilkes Barre, PA 18702-5616 | 2005-05-24 |
| 1336556588 | Adriene Slacktish | Nurse Practitioner | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2014-07-21 |
| 1235447376 | Lia Francesca Crispell | Nurse Practitioner | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2010-09-23 |
| 1093029993 | Angela Marie Stewart | Nurse Practitioner | 575 N River St, Wilkes Barre, PA 18764-0999 | 2010-08-03 |
| 1023028289 | Melissa Laporte | Nurse Practitioner | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2006-08-09 |
| 1699791442 | Donna M Pape | Nurse Practitioner | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072641 | Pinnacle Health Medical Services | Nurse Practitioner | 250 Fame Ave Ste 201, Hanover, PA 17331-1587 | 2020-10-28 |
| 1265044093 | Michelle Lynn Hurst | Nurse Practitioner | 1590 Medical Dr Ste A, Pottstown, PA 19464-3247 | 2020-08-21 |
| 1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
| 1437768413 | Stephanie Marie Lesseski | Nurse Practitioner | 2014 Creekside Dr, Edinboro, PA 16412-1458 | 2020-07-27 |
| 1588272959 | Elaine Michele Matisko | Nurse Practitioner | 56 Dorthea Street Ext, Houtzdale, PA 16651-8607 | 2020-07-21 |
| 1275155012 | Jamie Lee Auyeung | Nurse Practitioner | 2413 Lytle Rd, Bethel Park, PA 15102-2790 | 2020-05-14 |
| 1730715822 | Suzette Jones | Nurse Practitioner | Mid-state Occupational Health Services, Inc., 1000 Meade Street, Dunmore, PA 18512 | 2020-03-20 |
| 1841834710 | Joseph Mascaro | Nurse Practitioner | 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 | 2019-11-04 |
| 1477100311 | Larissa Marie Glowinski | Nurse Practitioner | 502 Vna Rd, East Stroudsburg, PA 18301-7965 | 2019-08-26 |
| 1295382232 | Marthe Adler | Nurse Practitioner | 300b Lawrence Dr, West Chester, PA 19380-4289 | 2019-08-23 |
| Find all providers with the same taxonomy | ||||
| City | WILKES BARRE |
| Zip Code | 18765 |
Please comment or provide details below to improve the information on TRACY L ROCKEFELLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.