Vanessa Ann Sidick, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP020517 Issued in PA

Practice address

4 Peartree Way
Beaver, PA 15009-1954

Phone

(724) 728-3575

Fax

(724) 770-7964

NPI assigned

Oct 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Vanessa Ann Federico Former name

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• St Clair Medical Services, Inc.

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1467485565
  Medicare reassignment Care Compare group NPD
• St Clair Medical Services Inc

  • Otolaryngology Physician
  • Bethel Park, PA
  • NPI 1659224715
  NPD
• St Clair Medical Services Inc

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1821249160
  NPD
• St Clair Medical Services Inc

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1447751979
  NPD (past)

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

• St Clair Memorial Hospital

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1073587119
  Care Compare affiliation

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1093357915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 JULIANNA DR",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151083764",
            "telephone_number": "412-965-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PEARTREE WAY",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091954",
            "telephone_number": "724-728-3575",
            "fax_number": "724-770-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDICK",
        "first_name": "VANESSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "FEDERICO",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Seven Star Psychotherapy, LLC
• Connor Patrick Shadish, PT, DPT, ACSM-EP
• Hayley Shawger, MA, NCC, LPC
• Robert Michael Shrum, RPH
• Gail Janet Shumway, M.D.
• Jamie M Siegfried
• Johanna Simon
• Peter Simon, MD
• Megan Lynn Sinicki, PHARMD
• Kianna Skal

• Family Nurse Practitioner in Beaver, PA
• Providers in Beaver, 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 Nov 22, 2019; 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.