Individual provider Active NPI

Nina Lindemuth, CRNP

  • Family Medicine Physician
  • Du Bois, PA
National Provider Identifier
1033892617
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP027990 Issued in PA
Practice address
100 Midway Dr
Du Bois, PA 15801-3858
Phone
(814) 299-7152
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP027990 PA Primary

Addresses

Primary practice location

100 Midway Dr
Du Bois, PA 15801-3858

Mailing address

140 7TH Avenue Ext
Brockway, PA 15824-7002
Phone (304) 312-9683

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
I20231117000825 PA Practitioner - Nurse Practitioner 9133576804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

205 Hampton Ave
Punxsutawney, PA 15767-2133
Phone (814) 938-0148

Hospital & facility affiliations

  • Penn Highlands Community Nurses Home health agency, Saint Marys, PA, CCN 397028
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027990PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fore Your Health Family Medicine, LLC Family Medicine CurrentSince Oct 23, 2023 Accepting new patients

Locations

605 State St
Curwensville, PA 16833
Phone (814) 236-3993

100 Midway Dr
Dubois, PA 15801
Phone (814) 299-7152

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.

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1033892617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 7TH AVENUE EXT",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158247002",
            "telephone_number": "304-312-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MIDWAY DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013858",
            "telephone_number": "814-299-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDEMUTH",
        "first_name": "NINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP027990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.