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

Kaitlyn Anne Maculloch, CRNP

Individual provider Adult Health Nurse Practitioner · NPI 1952907917

Kaitlyn Anne Maculloch, CRNP is a Nurse Practitioner in Wilkes Barre, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2020
Specialties on file
2
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

1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone: (570) 808-4772
Fax: (570) 808-6174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP023619 (PA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence SP023619 (PA)

Record details

NPI number1952907917
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedDecember 7, 2020
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wilkes Barre