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

Mr. Thomas Mickowski, CRNP

Individual provider Family Nurse Practitioner · NPI 1053997999

Mr. Thomas Mickowski, CRNP is a Nurse Practitioner in Kingston, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2021
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

511 Pierce St
Kingston, PA 18704-5731
Phone: (570) 243-3300
Fax: (570) 338-3993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1919 N Memorial Highway, Shavertown, PA 18708-1483 — (570) 714-3333

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP022412 (PA)

Record details

NPI number1053997999
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMarch 22, 2021
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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