Mr. Jack Bogart Jr., CRNP
Mr. Jack Bogart Jr., CRNP is a Nurse Practitioner in Lewisburg, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Evangelical Medical Services Organization, a 259-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 15
- Licensed in
- PA
- In the registry since
- 2011
- 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.
Practice location Address checks out
3 Hospital Dr Ste 206Lewisburg, PA 17837-9394
Phone: (570) 524-4141
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence SP011577 (PA) |
|---|---|
| Critical Care Medicine Nurse Practitioner | Taxonomy 363LC0200X · Licence SP011577 (PA) |
Record details
| NPI number | 1790066223 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CRNP |
| Sole proprietor | No |
| NPI enumerated | August 29, 2011 |
| Last updated in NPPES | November 28, 2025 |
| Certification date | November 28, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Evangelical Medical Services Organization — 259 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Lewisburg
-
Mr. Jason Barrett, CRNP
3 Hospital Dr Ste 206, Lewisburg, PA 17837-9394 · (570) 524-4141