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

Individual provider Nurse Practitioner · NPI 1093449373

Nicole Ratajczak, CRNP is a Nurse Practitioner in Williamsport, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Phoenix Rehabilitation and Health Services Inc, a 2,720-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022
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

1705 Warren Ave Ste 101-103
Williamsport, PA 17701-2647
Phone: (570) 321-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 80 Medical Park Dr, Lewisburg, PA 17837-6343 — (570) 768-4646

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP025878 (PA)

Record details

NPI number1093449373
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJuly 13, 2022
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 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 locations5 on file with Medicare

Other providers in Williamsport