Active NPI
Nicole Leigh Pomeroy I, NP-C
- Family Nurse Practitioner
- Punxsutawney, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP018805
- Practice address
- 81 Hillcrest Dr
Punxsutawney, PA 15767-2605 - Phone
- (814) 938-3550
- Fax
- (814) 938-3679
- NPI assigned
- May 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN616159 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP018805 | PA | Primary |
Addresses
Primary practice location
81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Mailing address
81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Phone (814) 938-3550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Phone (814) 938-1800
Hospital & facility affiliations
- Punxsutawney Area Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN616159 | PA | MD | Registered Nurse |
| SP018805 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Punxsutawney Area Hospital Inc | Current | Accepting new patients | |
| Punxsutawney Area Hospital Inc | Family | Current | Accepting new patients |
| Indiana Healthcare Physician Services, Inc | Current | Accepting new patients | |
| Indiana Healthcare Physician Services Inc | Current | Accepting new patients |
Locations
879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031
640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196
81 Hillcrest Dr
Ste 1200
Punxsutawney, PA 15767
Phone (814) 938-1830
81 Hillcrest Dr
Ste 100
Punxsutawney, PA 15767
Phone (814) 938-7045
81 Hillcrest Dr
Ste 2200
Punxsutawney, PA 15767
Phone (814) 938-1451
83 Hillcrest Dr
Ste 200
Punxsutawney, PA 15767
Phone (814) 938-3550
81 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-1800
81 Hillcrest Dr
Ste 200
Punxsutawney, PA 15767
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Indiana, PA
- NPI 1578523429
-
- General Acute Care Hospital
- Punxsutawney, PA
- NPI 1265449870
-
- Radiation Oncology Physician
- Indiana, PA
- NPI 1417409186
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Punxsutawney, PA
- NPI 1265449870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1003305178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 HILLCREST DR",
"city": "PUNXSUTAWNEY",
"state": "PA",
"postal_code": "157672605",
"telephone_number": "814-938-3550",
"fax_number": "814-938-3679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 HILLCREST DR",
"city": "PUNXSUTAWNEY",
"state": "PA",
"postal_code": "157672605",
"telephone_number": "814-938-3550",
"fax_number": "814-938-3679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMEROY",
"first_name": "NICOLE",
"middle_name": "LEIGH",
"name_suffix": "I",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-04",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN616159",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP018805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Punxsutawney, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.