Active NPI
Michael Alexis Mewes, CRNP
- Family Nurse Practitioner
- Seneca, PA
National Provider Identifier
1013082874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- TP005101B
- Practice address
- One Park Way
Seneca, PA 16346-0802 - Phone
- (814) 676-5444
- Fax
- (814) 676-0342
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | TP005101B | PA | Primary |
Addresses
Primary practice location
One Park Way
Seneca, PA 16346-0802
Mailing address
PO Box 802
One Park Way,
Seneca, PA 16346-0802
Phone (814) 676-5444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1013082874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 802",
"address_2": "ONE PARK WAY,",
"city": "SENECA",
"state": "PA",
"postal_code": "163460802",
"telephone_number": "814-676-5444",
"fax_number": "814-676-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE PARK WAY",
"city": "SENECA",
"state": "PA",
"postal_code": "163460802",
"telephone_number": "814-676-5444",
"fax_number": "814-676-0342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEWES",
"first_name": "MICHAEL",
"middle_name": "ALEXIS",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "TP005101B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seneca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.