Pennsylvania Physician Services, LLC
NPI 1497059802 · Emergency Medicine Physician · Wilkes Barre, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pennsylvania Physician Services, LLC is a Emergency Medicine Physician organization in Wilkes Barre, PA (NPI 1497059802).
Provider details
- NPI number
- 1497059802
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Larsen, Director of Credentialing(770) 874-5400
Specialties & taxonomies
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
1 documented practice location
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
Registry dates
- Enumerated
- 2010-12-28
- Last updated
- 2020-02-05
- Certified
- 2020-02-05
Frequently asked questions
- What is Pennsylvania Physician Services, LLC's NPI number?
- Pennsylvania Physician Services, LLC's National Provider Identifier (NPI) is 1497059802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pennsylvania Physician Services, LLC?
- Pennsylvania Physician Services, LLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pennsylvania Physician Services, LLC located?
- Pennsylvania Physician Services, LLC's practice location on file with NPPES is 575 N River St, Wilkes Barre, PA 18764-0001.
- What is Pennsylvania Physician Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pennsylvania Physician Services, LLC is (570) 829-8111.
- Does Pennsylvania Physician Services, LLC accept Medicare?
- Pennsylvania Physician Services, 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 Pennsylvania Physician Services, LLC?
- The authorized official listed on Pennsylvania Physician Services, LLC's NPPES record is Kim Larsen, Director of Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pennsylvania Physician Services, LLC's NPI active?
- Yes — Pennsylvania Physician Services, LLC's NPI (1497059802) is active in the NPPES registry as of the last update on 2020-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.