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Nicole Ratajczak, CRNP

Nurse Practitioner in Williamsport, PA. Individual provider (NPI-1).

NPI number1093449373
StatusActive
Last updated in NPPESJan 5, 2026

Details

NPI
1093449373
Entity type
Individual (NPI-1)
Name
Nicole Ratajczak
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 13, 2022
Certification date
Jan 5, 2026
Last updated
Jan 5, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerSP025878PAYes

Other names

  • Nicole Wenner (Former Name)

Practice location

1705 Warren Ave Ste 101-103
Williamsport, PA 17701-2647

Phone 570-321-2020

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

Phone 888-647-9600

Other practice locations

80 Medical Park Dr
Lewisburg, PA 17837-6343

Phone 570-768-4646

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner providers in Williamsport, PA

All 68 Nurse Practitioner providers in Williamsport · All 1,734 providers in Williamsport

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