Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Danielle Marie Prudente, PA-C

Individual provider Physician Assistant · NPI 1801750757

Danielle Marie Prudente, PA-C is a Physician Assistant in Wilkes Barre, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Geisinger Clinic, a 3,413-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1155 E Mountain Blvd
Wilkes Barre, PA 18702-7906
Phone: (570) 808-7300
Fax: (570) 808-6006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA067375 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA007546 (PA)

Record details

NPI number1801750757
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 15, 2025
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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