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

Mr. Jack Bogart Jr., CRNP

Individual provider Critical Care Medicine Nurse Practitioner · NPI 1790066223

Mr. Jack Bogart Jr., CRNP is a Nurse Practitioner in Lewisburg, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Evangelical Medical Services Organization, a 259-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
15
Licensed in
PA
In the registry since
2011
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

3 Hospital Dr Ste 206
Lewisburg, PA 17837-9394
Phone: (570) 524-4141
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP011577 (PA)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence SP011577 (PA)

Record details

NPI number1790066223
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 29, 2011
Last updated in NPPESNovember 28, 2025
Certification dateNovember 28, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Evangelical Medical Services Organization — 259 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients29
Services billed 35 a service is one billed item, such as a visit, a test or a procedure
Average patient age81

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Evangelical Medical Services Organization

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 259 clinicians in the practice; 12 are shown here.

Other providers in Lewisburg