Randy Wayne Lasut Jr., CRNP FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP029010 Issued in PA

Practice address

4186 Cortland Dr
New Paris, PA 15554-7706

Phone

(814) 839-4108

NPI assigned

Jan 2, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orchard Valley Physician Services PLLCGroup PAC ID 4385028034, 9 clinicians

DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, shared by 7 NPIs, 286 clinicians

Henry W Shoenthal MD IncGroup PAC ID 7810281946, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Bedford Memorial Hospital, Everett, PA, CCN 390117

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCCEAA/Endpoint/GCCEAA

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.

• Orchard Valley Physician Services PLLC

  • Rural Health Clinic/Center
  • New Paris, PA
  • NPI 1083377345
  Medicare reassignment Care Compare group NPD
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

• Upmc Bedford Memorial

  • General Acute Care Hospital
  • Everett, PA
  • NPI 1295724193
  Care Compare affiliation
• Upmc Bedford Memorial

  • Ambulatory Surgical Clinic/Center
  • Everett, PA
  • NPI 1942345467

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1063282994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4186 CORTLAND DR",
            "city": "NEW PARIS",
            "state": "PA",
            "postal_code": "155547706",
            "telephone_number": "814-839-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4186 CORTLAND DR",
            "city": "NEW PARIS",
            "state": "PA",
            "postal_code": "155547706",
            "telephone_number": "814-839-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASUT",
        "first_name": "RANDY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNP FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry W. Shoenthal, MD Inc
• Evangeline Hillegass, MD
• Matthew W Hillegass, MD
• Nicholas Todd Hyde, DMD
• Amanda L Kreutzberger, PA-C
• Live Well Chiropractic, P.C.
• William J Martyak, PA-C
• Emily M. McCoy, PA-C
• Savanah Alexis Mellon
• Orchard Valley Physician Services PLLC

• Family Nurse Practitioner in New Paris, PA
• Providers in New Paris, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.