NPIMap

Individual provider Active NPI

Heather Marie Sundin, CRNP

  • Family Nurse Practitioner
  • Monroeville, PA
National Provider Identifier
1073398228
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP027215 Issued in PA
Practice address
3824 Northern Pike Ste 300
Monroeville, PA 15146-2175
Phone
(412) 858-7766
NPI assigned
Aug 28, 2023
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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 SP027215 PA Primary

Addresses

Primary practice location

3824 Northern Pike Ste 300
Monroeville, PA 15146-2175

Mailing address

3824 Northern Pike Ste 300
Monroeville, PA 15146-2175
Phone (412) 858-7766

Other identifiers 1

IdentifierTypeStateIssuer
15985755OtherCAQH

Other names 1

  • Heather Czerpak Former name

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
I20240213004251 PA Practitioner - Nurse Practitioner 5092159400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Medical Associates PCGroup PAC ID 9830003235, 104 clinicians

Practice addresses (Care Compare)

3824 Northern Pike
415 Premier Medical Assoc Neurology
Monroeville, PA 15146-2175
Phone (412) 342-6030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027215PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates PC CurrentSince Dec 23, 2023 Accepting new patients
Premier Medical Associates, PC CurrentSince Dec 23, 2023 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

3824 Northern Pike
Ste 200
Monroeville, PA 15146
Phone (412) 380-2800

3824 Northern Pike
Ste 300
Monroeville, PA 15146
Phone (412) 856-5335

3824 Northern Pike
Ste 415
Monroeville, PA 15146
Phone (412) 342-6030

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

Interoperability endpoints

  • Direct secure messaging: hsundin749462@direct.ahn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1073398228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 NORTHERN PIKE STE 300",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462175",
            "telephone_number": "412-858-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 NORTHERN PIKE STE 300",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462175",
            "telephone_number": "412-858-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDIN",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15985755",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "CZERPAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.