Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Debra Kay Canellos, CRNP

Individual provider Family Nurse Practitioner · NPI 1619440971

Debra Kay Canellos, CRNP is a Nurse Practitioner in Lewisburg, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Evangelical Medical Services Organization, a 259-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2019
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone: (570) 522-4264
Fax: (570) 768-3709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 High St, Williamsport, PA 17701-3100 — (570) 321-3580

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP019590 (PA)

Record details

NPI number1619440971
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedJanuary 9, 2019
Last updated in NPPESAugust 7, 2026
Certification dateOctober 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Evangelical Medical Services Organization — 259 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lewisburg