Individual provider Active NPI

Karan D Nealen, CRNP

  • Family Nurse Practitioner
  • Ebensburg, PA
National Provider Identifier
1063056836
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020998 Issued in PA
Practice address
881 Hills PLZ Ste 530
Ebensburg, PA 15931-4220
Phone
(814) 419-8084
NPI assigned
Nov 4, 2019
Last updated
Nov 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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 SP020998 PA Primary

Addresses

Primary practice location

881 Hills PLZ Ste 530
Ebensburg, PA 15931-4220

Mailing address

355 Pike Rd
Johnstown, PA 15909-4207
Phone (814) 322-5831

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL shivvers@atlanticbb.net Health Information Exchange (HIE)

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
I20191214000047 PA Practitioner - Nurse Practitioner 4082047543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Priority Family Practice IncGroup PAC ID 1355798406, 2 clinicians

Practice addresses (Care Compare)

401 12TH St
Windber, PA 15963-1726
Phone (814) 467-0005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020998PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Family Practice, Inc Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Prime Care Providers LLC Single Specialty CurrentSince Jun 7, 2024 Accepting new patients
Windber Hospital, Inc. Single Specialty Past Accepting new patients

Locations

100 Hostetler Rd
Johnstown, PA 15904
Phone (814) 240-3432

1013 Menoher Blvd
Johnstown, PA 15905
Phone (814) 254-4885

211 Thompson St
Seward, PA 15954
Phone (814) 446-5037

401 12th St
Windber, PA 15963
Phone (814) 467-0005

Interoperability endpoints

  • Direct secure messaging: knaelen@priorityfamilypractice.medentdirect.com

Organizations & group practices 3

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 2

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1063056836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 PIKE RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159094207",
            "telephone_number": "814-322-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 HILLS PLZ STE 530",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314220",
            "telephone_number": "814-419-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEALEN",
        "first_name": "KARAN",
        "middle_name": "D",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shivvers@atlanticbb.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "881 Hills Plz Ste 530",
            "city": "Ebensburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "159314220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

Verify at the official NPI Registry.