Wilkes-Barre Clinic Company LLC
NPI 1144533670 · Surgery Physician · Wilkes Barre, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wilkes-Barre Clinic Company LLC is a Surgery Physician organization in Wilkes Barre, PA (NPI 1144533670).
Provider details
- NPI number
- 1144533670
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Jackson, Senior Director Provider Enrollment(877) 892-9815
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neurological Surgery Physician207T00000X
Allopathic & Osteopathic Physicians
- Surgical Oncology Physician2086X0206X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 468 Northampton StSte 9Kingston, PA 18704-4566Phone: (570) 552-4720Fax: (570) 552-4725
Registry dates
- Enumerated
- 2010-07-26
- Last updated
- 2022-01-25
- Certified
- 2022-01-25
Frequently asked questions
- What is Wilkes-Barre Clinic Company LLC's NPI number?
- Wilkes-Barre Clinic Company LLC's National Provider Identifier (NPI) is 1144533670, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wilkes-Barre Clinic Company LLC?
- Wilkes-Barre Clinic Company LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Wilkes-Barre Clinic Company LLC located?
- Wilkes-Barre Clinic Company LLC's practice location on file with NPPES is 575 N River St, Wilkes Barre, PA 18702-2634.
- What is Wilkes-Barre Clinic Company LLC's phone number?
- The practice phone number listed in the NPPES registry for Wilkes-Barre Clinic Company LLC is (570) 552-1300.
- Does Wilkes-Barre Clinic Company LLC accept Medicare?
- Wilkes-Barre Clinic Company LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wilkes-Barre Clinic Company LLC?
- The authorized official listed on Wilkes-Barre Clinic Company LLC's NPPES record is Jennifer Jackson, Senior Director Provider Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wilkes-Barre Clinic Company LLC's NPI active?
- Yes — Wilkes-Barre Clinic Company LLC's NPI (1144533670) is active in the NPPES registry as of the last update on 2022-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.