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

Mr. John Rafferty, CRNP

Individual provider Registered Nurse · NPI 1386294684

Mr. John Rafferty, CRNP is a Nurse Practitioner in Tobyhanna, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
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.

See every abbreviation used in this directory →

Practice location Address checks out

100 Community Dr
Tobyhanna, PA 18466-8985
Phone: (570) 839-1400
Fax: (570) 839-1079
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP020602 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN684876 (PA)

Record details

NPI number1386294684
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedSeptember 18, 2019
Last updated in NPPESNovember 19, 2019
Mailing addressPo Box 783311, Philadelphia, PA 19178-3311

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Tobyhanna