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

Suzanne Rae, CRNP

Individual provider Family Nurse Practitioner · NPI 1255896197

Suzanne Rae, CRNP is a Nurse Practitioner in Nanticoke, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
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

128 E Main St
Nanticoke, PA 18634-1604
Phone: (570) 258-1304
Fax: (570) 258-1305
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 SP019988 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP019988 (PA)

Record details

NPI number1255896197
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedFebruary 5, 2019
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address100 N Academy Ave, Danville, PA 17822-4903

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Nanticoke