NPIMap

Individual provider Active NPI

Wendy L Brown, CRNP

  • Family Nurse Practitioner
  • Huntingdon, PA
National Provider Identifier
1104103365
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011677 Issued in PA
Practice address
7651 Lake Raystown Shopping Ctr
Huntingdon, PA 16652-8403
Phone
(814) 643-8750
Fax
(814) 643-8360
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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 SP011677 PA Primary

Addresses

Primary practice location

7651 Lake Raystown Shopping Ctr
Huntingdon, PA 16652-8403

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123

Other practice location 1

33 Beaver Dr Ste 1
Du Bois, PA 15801-2434
Phone (814) 503-8070

Other practice location 2

1100 Montour Rd
Loysville, PA 17047-9200
Phone (717) 789-3553

Other identifiers 2

IdentifierTypeStateIssuer
50117026OtherPACAPITAL BLUE CROSS
103075957MedicaidPA

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
I20130815000134 PA Practitioner - Nurse Practitioner 7810139235 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J C Blair Memorial HospitalGroup PAC ID 2668378407, 98 clinicians
Clearfield-Jefferson Primary Care Associates PCGroup PAC ID 6002064433, 73 clinicians

Practice addresses (Care Compare)

1227 Warm Springs
201 PHHD Palliative Care
Huntingdon, PA 16652-2300
Phone (814) 643-8255

15 N Front St
Clearfield, PA 16830-2455
Phone (814) 503-8070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP011677PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J C Blair Memorial Hospital CurrentSince Oct 1, 2023 Accepting new patients
J C Blair Memorial Hospital Current Accepting new patients
Clearfield-Jefferson Primary Care Associates PC CurrentSince Jul 26, 2017 Accepting new patients
J C Blair Memorial Hospital CurrentSince Oct 1, 2023 Accepting new patients
J C Blair Medical Services Inc CurrentSince Apr 21, 2015 Accepting new patients
J. C. Blair Memorial Hospital Past Accepting new patients

Locations

15 N Front St
Clearfield, PA 16830
Phone (570) 561-2990

33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990

7651 Lake Raystown Shopping Ctr
Huntingdon, PA 16652
Phone (814) 643-8485

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

1227 Warm Springs Ave
Ste 201
Huntingdon, PA 16652
Phone (814) 643-8255

Organizations & group practices 6

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 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": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1104103365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 LAKE RAYSTOWN SHOPPING CTR",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166528403",
            "telephone_number": "814-643-8750",
            "fax_number": "814-643-8360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Beaver Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158012434",
            "country_code": "US",
            "telephone_number": "814-503-8070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Montour Rd",
            "address_purpose": "LOCATION",
            "city": "Loysville",
            "state": "PA",
            "postal_code": "170479200",
            "country_code": "US",
            "telephone_number": "717-789-3553",
            "fax_number": "717-789-3198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WENDY",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50117026",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103075957",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.