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

Miss. Caroline Elizabeth Kudrich, PA-C

Individual provider Physician Assistant · NPI 1861275919

Miss. Caroline Elizabeth Kudrich, PA-C is a Physician Assistant in Nanticoke, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Phoenix Rehabilitation and Health Services Inc, a 2,720-clinician group, works from 3 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?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4 E Main St
Nanticoke, PA 18634-1602
Phone: (570) 258-3939
Fax: (570) 258-0119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 176 N Main St, Shavertown, PA 18708-1121 — (570) 675-0900
  • 500 Scott St, Wilkes Barre, PA 18702-5616 — (570) 824-1700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA064728 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA006556 (PA)

Record details

NPI number1861275919
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 14, 2023
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Phoenix Rehabilitation And Health Services Inc — 2720 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Nanticoke