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

Lisa R Fetterman, CRNP

Individual provider Registered Nurse · NPI 1316980303

Lisa R Fetterman, CRNP is a Nurse Practitioner in Scranton, Pennsylvania. Qualified in 1998, 28 years ago. Practices with Scranton Quincy Clinic Company LLC, a 67-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
28
Licensed in
PA
In the registry since
2006
Specialties on file
3
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

748 Quincy Ave Ste 2A
Scranton, PA 18510-1739
Phone: (570) 961-0851
Fax: (570) 344-4285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence VP005134B (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN298283L (PA)
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X · Licence VP005134B (PA)

Record details

NPI number1316980303
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESAugust 30, 2021
Certification dateAugust 30, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Scranton Quincy Clinic Company Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Scranton