Individual provider Active NPI

Colleen Rzomp, CRNP

  • Nurse Practitioner
  • Erie, PA
National Provider Identifier
1023485091
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP015282 Issued in PA
Practice address
2501 W 12TH St Ste C10
Erie, PA 16505-4527
Phone
(814) 452-7879
Fax
(814) 455-2628
NPI assigned
Aug 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP015282 PA Primary

Addresses

Primary practice location

2501 W 12TH St Ste C10
Erie, PA 16505-4527

Mailing address

2501 W 12TH St Ste C10
Erie, PA 16505-4527
Phone (814) 452-7879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP015282PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc CurrentSince May 23, 2022 Accepting new patients
Regional Health Services Inc CurrentSince Sep 8, 2015 Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

2501 W 12th St
Ste C
Erie, PA 16505
Phone (814) 452-7879

4950 Buffalo Rd
Erie, PA 16510
Phone (814) 898-2576

2501 W 12th St
Ste C10
Erie, PA 16505
Phone (814) 452-7879

100 Peach St
Ste 200
Erie, PA 16507
Phone (814) 456-7733

213 E 41st St
Erie, PA 16504
Phone (814) 452-5772

333 State St
Ste 103
Erie, PA 16507

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

Interoperability endpoints

  • Direct secure messaging: crzomp481654@direct.ahn.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1023485091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W 12TH ST STE C10",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054527",
            "telephone_number": "814-452-7879",
            "fax_number": "814-455-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 12TH ST STE C10",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054527",
            "telephone_number": "814-452-7879",
            "fax_number": "814-455-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RZOMP",
        "first_name": "COLLEEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP015282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.