Individual provider Active NPI

Colleen Rex, AGNP-C

  • Nurse Practitioner
  • Apollo, PA
National Provider Identifier
1104330091
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP018200 Issued in PA
Practice address
151 Goodview Dr
Apollo, PA 15613-8527
Phone
(724) 332-1294
NPI assigned
Nov 30, 2017
Last updated
Nov 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP018200 PA Primary

Addresses

Primary practice location

151 Goodview Dr
Apollo, PA 15613-8527

Mailing address

151 Goodview Dr
Apollo, PA 15613-8527

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180321000985 PA Practitioner - Nurse Practitioner 0648532135 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP018200PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Oct 11, 2021 Accepting new patients
Meditelecare of Pennsylvania LLC Nurse Practitioner CurrentSince May 18, 2022 Accepting new patients
Quality Medical Associates, PC CurrentSince Aug 30, 2019 Accepting new patients
Physiatry Consultants of NC PLLC CurrentSince Nov 1, 2023 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medicine Inc CurrentSince Oct 11, 2021 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

151 Goodview Dr
Apollo, PA 15613
Phone (724) 332-1294

612 N Main St
Butler, PA 16001

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

885 Macbeth Dr
Monroeville, PA 15146
Phone (412) 856-7071

1215 Hulton Rd
Oakmont, PA 15139
Phone (412) 659-2450

1104 Welsh Rd
Philadelphia, PA 19115
Phone (215) 676-7191

1105 Perry Hwy
Pittsburgh, PA 15237
Phone (412) 369-9955

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

500 Philadelphia Ave
Shillington, PA 19607
Phone (610) 777-7841

120 Lakeside Dr
Worthington, PA 16262
Phone (724) 445-3000

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

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1104330091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 GOODVIEW DR",
            "city": "APOLLO",
            "state": "PA",
            "postal_code": "156138527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 GOODVIEW DR",
            "city": "APOLLO",
            "state": "PA",
            "postal_code": "156138527",
            "telephone_number": "724-332-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REX",
        "first_name": "COLLEEN",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apollo, PA

Sources for this page

Verify at the official NPI Registry.