NPIMap

Individual provider Active NPI

Vincent Golik, FNP-C

  • Nurse Practitioner
  • Irwin, PA
National Provider Identifier
1104226547
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP014053 Issued in PA
Practice address
905 Spruce St Ste 201
Irwin, PA 15642-3683
Phone
(724) 864-9595
Fax
(724) 864-9860
NPI assigned
Sep 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP014053 PA
Nurse Practitioner 363L00000X SP014053 PA Primary

Addresses

Primary practice location

905 Spruce St Ste 201
Irwin, PA 15642-3683

Mailing address

905 Spruce St
Irwin, PA 15642-3683
Phone (724) 864-9595

Other practice location 1

410 Pellis Rd Ste 1A
Greensburg, PA 15601-4700
Phone (724) 832-7877

Other identifiers 3

IdentifierTypeStateIssuer
1032892830001MedicaidPA
CA3219OtherMEDICARE
1032892830002MedicaidPA

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
I20150724010074 PA Practitioner - Nurse Practitioner 4688987381 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
Irwin Family Care, PCGroup PAC ID 9638083173, 9 clinicians

Practice addresses (Care Compare)

905 Spruce St
Suite 201
Irwin, PA 15642-3683
Phone (724) 864-9595

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP014053PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Irwin Family Care, PC Nurse Practitioner CurrentSince Oct 1, 2016 Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

410 Pellis Rd
Greensburg, PA 15601
Phone (724) 689-1070

410 Pellis Rd
Ste 1A
Greensburg, PA 15601
Phone (724) 832-7877

328 Weldon St
Latrobe, PA 15650
Phone (724) 537-3381

406 W Main St
Ligonier, PA 15658
Phone (724) 537-3381

905 Spruce St
North Huntingdon, PA 15642
Phone (724) 689-1335

905 Spruce St
Ste 201
North Huntingdon, PA 15642
Phone (724) 864-1115

Organizations & group practices 2

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1104226547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SPRUCE ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423683",
            "telephone_number": "724-864-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SPRUCE ST STE 201",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423683",
            "telephone_number": "724-864-9595",
            "fax_number": "724-864-9860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Pellis Rd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156014700",
            "country_code": "US",
            "telephone_number": "724-832-7877",
            "fax_number": "724-832-7883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLIK",
        "first_name": "VINCENT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014053",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP014053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032892830001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA3219",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032892830002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irwin, PA

Sources for this page

Verify at the official NPI Registry.