NPIMap

Individual provider Active NPI

Jennifer Feldbauer, CRNP

  • Nurse Practitioner
  • Du Bois, PA
National Provider Identifier
1063828952
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP013966 Issued in PA
Practice address
145 Hospital Ave Ste 215
Du Bois, PA 15801-1464
Phone
(814) 371-1717
Fax
(814) 375-4422
NPI assigned
Jul 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP013966 PA Primary

Addresses

Primary practice location

145 Hospital Ave Ste 215
Du Bois, PA 15801-1464

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-4200

Other practice location 1

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-3800

Other identifiers 1

IdentifierTypeStateIssuer
103135358MedicaidPA

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
I20140829001325 PA Practitioner - Nurse Practitioner 3072731249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440

145 Hospital Ave
Suite 204
Du Bois, PA 15801-1464
Phone (814) 371-4360

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center CurrentSince Mar 1, 2015 Accepting new patients
Dubois Regional Medical Center CurrentSince Mar 1, 2015 Accepting new patients
Dubois Regional Medical Center Nurse Practitioner Past Accepting new patients

Locations

145 Hospital Ave
Ste 204
Dubois, PA 15801
Phone (814) 371-4360

145 Hospital Ave
Ste 313
Dubois, PA 15801
Phone (814) 375-4000

145 Hospital Ave
Ste 215
Dubois, PA 15801
Phone (814) 371-1717

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

104 Metoxet St
Ridgway, PA 15853
Phone (814) 788-5456

Interoperability endpoints

  • Direct secure messaging: jkfeldbauer@1285.direct.myezyaccess.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 and National Provider Directory roles.

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1063828952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-4200",
            "fax_number": "814-375-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE STE 215",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011464",
            "telephone_number": "814-371-1717",
            "fax_number": "814-375-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158011440",
            "country_code": "US",
            "telephone_number": "814-375-3800",
            "fax_number": "814-375-3885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDBAUER",
        "first_name": "JENNIFER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP013966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103135358",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.