Active NPI
Patricia Carol Peoples, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Indiana, PA
National Provider Identifier
1083202824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP023323
- Practice address
- 793 Old Route 119 Hwy N
Indiana, PA 15701-1372 - Phone
- (888) 686-1991
- NPI assigned
- Jan 7, 2021
- Last updated
- Apr 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP013819 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP023323 | PA | Primary |
Addresses
Primary practice location
793 Old Route 119 Hwy N
Indiana, PA 15701-1372
Mailing address
793 Old Route 119 Hwy N
Indiana, PA 15701-1372
Phone (724) 465-5576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP023323 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Guidance Center | Past | Accepting new patients | |
| Clearfield Education Foundation-Furture | Past | Accepting new patients | |
| Clearfield Educational Foundation-Future Corporation | Past | Accepting new patients |
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.
-
dba Fresh Beginnings
- Community/Behavioral Health Agency
- Clearfield, PA
- NPI 1568150977
-
dba Fresh Beginning
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clearfield, PA
- NPI 1669185112
-
- Community/Behavioral Health Agency
- Northern Cambria, PA
- NPI 1366944332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1083202824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "793 OLD ROUTE 119 HWY N",
"city": "INDIANA",
"state": "PA",
"postal_code": "157011372",
"telephone_number": "724-465-5576",
"fax_number": "724-465-6379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "793 OLD ROUTE 119 HWY N",
"city": "INDIANA",
"state": "PA",
"postal_code": "157011372",
"telephone_number": "888-686-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEOPLES",
"first_name": "PATRICIA",
"middle_name": "CAROL",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-07",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP013819",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP023323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Michael Petras
- Paul J. Petras, O.D.
- Gregory D. Petrilla, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.