NPIMap

Individual provider Active NPI

Phallen Magill, RN, CRNP

  • Nurse Practitioner
  • Altoona, PA
National Provider Identifier
1063178689
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP028160 Issued in PA
Practice address
1321 11TH Ave
Altoona, PA 16601-3301
Phone
(814) 942-2411
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN595248 PA
Nurse Practitioner 363L00000X SP028160 PA Primary

Addresses

Primary practice location

1321 11TH Ave
Altoona, PA 16601-3301

Mailing address

11021 Trey Rd
Huntingdon, PA 16652-9666

Other practice location 1

9635 William Penn Hwy
Huntingdon, PA 16652-7161
Phone (814) 599-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118004726 PA Practitioner - Nurse Practitioner 0547612137 Reassigns benefits to 2 organizations

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
Cardiology Associates of Altoona LLPGroup PAC ID 0042367476, 21 clinicians

Practice addresses (Care Compare)

1321 11TH Ave
Altoona, PA 16601-3301
Phone (814) 942-2411

Hospital & facility affiliations

  • Penn Highlands Huntingdon Hospital, Huntingdon, PA, CCN 390056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN595248PAMDRegistered Nurse
SP028160PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tyrone Hospital Current Accepting new patients
Tyrone Hospital CurrentSince Feb 12, 2024 Accepting new patients
Cardiology Associates of Altoona, LLP CurrentSince Jan 2, 2024 Accepting new patients
Tyrone Hospital CurrentSince Feb 12, 2024 Accepting new patients

Locations

1321 11th Ave
Altoona, PA 16601
Phone (814) 942-2411

14 E 3rd Ave
Everett, PA 15537
Phone (814) 565-3239

419 14th St
Huntingdon, PA 16652
Phone (717) 574-7083

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

878 Pine Heights St
Roaring Spring, PA 16673
Phone (814) 710-8140

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

187 Hospital Dr
#A
Tyrone, PA 16686
Phone (814) 503-4735

Interoperability endpoints

  • Direct secure messaging: crnppmagill@caa.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1063178689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 TREY RD",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166529666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 11TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013301",
            "telephone_number": "814-942-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9635 William Penn Hwy",
            "address_purpose": "LOCATION",
            "city": "Huntingdon",
            "state": "PA",
            "postal_code": "166527161",
            "country_code": "US",
            "telephone_number": "814-599-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGILL",
        "first_name": "PHALLEN",
        "credential": "RN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN595248",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP028160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.