Individual provider Active NPI

Heidi Rae Gaddess, CRNP

  • Family Nurse Practitioner
  • Titusville, PA
National Provider Identifier
1023353208
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012473 Issued in PA
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130221000403 PA Practitioner - Nurse Practitioner 9234384371 Reassigns benefits to 3 organizations

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 HospitalGroup PAC ID 8022907575, shared by 16 NPIs, 77 clinicians

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

OrganizationSpecialtyStatusNew patients
Titusville Area Hospital CurrentSince Jan 1, 2019 Accepting new patients
Oil Valley Internal Medicine Associates PC CurrentSince Jan 2, 2013 Accepting new patients
Titusville Area Hospital CurrentSince Jan 1, 2019 Accepting new patients
Titusville Area Hospital CurrentSince Apr 27, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.