Active NPI
Heidi Rae Gaddess, CRNP
- Family Nurse Practitioner
- Titusville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP012473
- Practice address
- 339 W Spring St
Suite 102
Titusville, PA 16354-1655 - Phone
- (814) 827-9675
- Fax
- (814) 827-0216
- NPI assigned
- Nov 29, 2012
- Last updated
- Nov 29, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP012473 | PA | Primary |
Addresses
Primary practice location
339 W Spring St
Suite 102
Titusville, PA 16354-1655
Mailing address
339 W Spring St
Suite 102
Titusville, PA 16354-1655
Phone (814) 827-9675
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Titusville Area Hospital
Practice addresses (Care Compare)
339 W Spring St
Titusville, PA 16354-1655
Phone (814) 827-9675
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Titusville Area Hospital | Current | Accepting new patients | |
| Oil Valley Internal Medicine Associates PC | Current | Accepting new patients | |
| Titusville Area Hospital | Current | Accepting new patients | |
| Titusville Area Hospital | Current | Accepting new patients |
Locations
116 Central Ave
Oil City, PA 16301
Phone (814) 676-0431
339 W Spring St
Titusville, PA 16354
Phone (814) 827-9675
339 W Spring St
Ste 102
Titusville, PA 16354
Phone (814) 824-9675
406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851
Interoperability endpoints
- heidi.gaddess@directaddress.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Titusville, PA
- NPI 1598871550
-
- Rural Health Clinic/Center
- Titusville, PA
- NPI 1740774207
-
- Rural Health Clinic/Center
- Oil City, PA
- NPI 1760976336
-
- Audiologist
- Titusville, PA
- NPI 1306712104
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meadville, PA
- NPI 1942276423
-
- Critical Access Hospital
- Titusville, PA
- NPI 1891899332
-
- Psychiatric Hospital Unit
- Seneca, PA
- NPI 1013090745
-
- General Acute Care Hospital
- Seneca, PA
- NPI 1619069440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1023353208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 W SPRING ST",
"address_2": "SUITE 102",
"city": "TITUSVILLE",
"state": "PA",
"postal_code": "163541655",
"telephone_number": "814-827-9675",
"fax_number": "814-827-0216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 W SPRING ST",
"address_2": "SUITE 102",
"city": "TITUSVILLE",
"state": "PA",
"postal_code": "163541655",
"telephone_number": "814-827-9675",
"fax_number": "814-827-0216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADDESS",
"first_name": "HEIDI",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-29",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP012473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.