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

Katie Lynn Pernot-Moyer, CRNP

Individual provider Gerontology Nurse Practitioner · NPI 1114707882

Katie Lynn Pernot-Moyer, CRNP is a Nurse Practitioner in Scranton, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Ophelia Medical Group Fl PA, a 100-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
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

1371 N Washington Ave
Scranton, PA 18509-2840
Phone: (570) 963-6639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 161 Cecil B Moore Ave Apt 204, Philadelphia, PA 19122-3243 — (866) 306-2026

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence SP028097 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP028097 (PA)

Record details

NPI number1114707882
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedOctober 2, 2023
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ophelia Medical Group Fl Pa — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Scranton