Individual provider Active NPI

Kelly M Emerson, CRNP

  • Family Nurse Practitioner
  • Mt Pleasant, PA
National Provider Identifier
1003393224
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN602996 Issued in PA
Practice address
508 S Church St
Mt Pleasant, PA 15666-1702
Phone
(724) 547-1636
Fax
(724) 547-1762
NPI assigned
Jul 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN602996 PA Primary

Addresses

Primary practice location

508 S Church St
Mt Pleasant, PA 15666-1702

Mailing address

520 Jefferson Ave Ste 400
Jeannette, PA 15644-2538
Phone (724) 689-1822

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181019000297 PA Practitioner - Nurse Practitioner 6406109537 Reassigns benefits to 2 organizations

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
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians

Practice addresses (Care Compare)

500 W Berkeley St
Uniontown, PA 15401-5514
Phone (724) 430-6899

Hospital & facility affiliations

  • Uniontown Hospital Hospital, Uniontown, PA, CCN 390041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN602996PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fayette Physician Network Inc CurrentSince Sep 29, 2022 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Fayette Physician Network Inc Family CurrentSince Sep 29, 2022 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

508 S Church St
Mt Pleasant, PA 15666
Phone (724) 547-1500

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

Interoperability endpoints

  • Direct secure messaging: kemerson357561@direct.wvuhsdirect.com
  • Direct secure messaging: kemerson@direct.excelahealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1003393224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JEFFERSON AVE STE 400",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442538",
            "telephone_number": "724-689-1822",
            "fax_number": "724-522-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S CHURCH ST",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661702",
            "telephone_number": "724-547-1636",
            "fax_number": "724-547-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "RN602996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

Verify at the official NPI Registry.