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

Individual provider Physician Assistant · NPI 1710617071

Nicholas Prosper, PA-C is a Physician Assistant in Stroudsburg, Pennsylvania. Qualified in 2022, 4 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 St Lukes Ln
Stroudsburg, PA 18360-6217
Phone: (866) 785-8537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 516 Jenna Dr, Brodheadsville, PA 18322-7141 — (272) 212-4000
  • 235 E Brown St Ste 302, East Stroudsburg, PA 18301-3013 — (272) 212-4000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1710617071
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 10, 2022
Last updated in NPPESJune 10, 2022
Certification dateJune 10, 2022
Mailing address516 Jenna Dr, Brodheadsville, PA 18322-7141

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Stroudsburg