Active NPI
Carlin Rose Gerba, CRNP
- Critical Care Medicine Nurse Practitioner
- Washington, PA
National Provider Identifier
1033680772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Nurse Practitioner
- License
- SP019646
- Practice address
- 155 Wilson Ave
Washington, PA 15301-3336 - Phone
- (724) 223-3800
- NPI assigned
- Dec 6, 2018
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | SP019646 | PA | Primary |
Addresses
Primary practice location
155 Wilson Ave
Washington, PA 15301-3336
Mailing address
359 Waynesburg Rd
Washington, PA 15301-3230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2018072398 | Other | ANCC | |
| SP019646 | Other | PA | CERTIFIED REGISTERED NURSE PRACTITIONER |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP019646 | PA | MD | Critical Care Medicine Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Physician Services | Current | Accepting new patients |
Locations
155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342
190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335
95 Leonard Ave
Bldg 1
Washington, PA 15301
Phone (724) 206-0610
95 Leonard Ave
Ste 300
Washington, PA 15301
Phone (724) 225-3640
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Washington, PA
- NPI 1316917669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1033680772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 WAYNESBURG RD",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153013230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 WILSON AVE",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153013336",
"telephone_number": "724-223-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERBA",
"first_name": "CARLIN",
"middle_name": "ROSE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "PA",
"license": "SP019646",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC",
"identifier": "2018072398",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED REGISTERED NURSE PRACTITIONER",
"identifier": "SP019646",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.