Colleen Rex, AGNP-C
Individual provider Active NPI Nurse Practitioner · Apollo, PA
NPI 1104330091 · NPPES record last updated Nov 30, 2017
Key facts
- NPI
- 1104330091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- SP018200 (PA)
- Practice address
- 151 Goodview Dr
Apollo, PA 15613-8527 - Phone
- (724) 332-1294
- NPI assigned
- Nov 30, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180321000985 | PA | Practitioner - Nurse Practitioner | 0648532135 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meditelecare of Pennsylvania LLC | Nurse Practitioner | Current |
Accepting new patients |
| Quality Medical Associates, PC | Current |
Accepting new patients | |
| Upmc Community Medcine Inc | Current |
Accepting new patients | |
| Physiatry Consultants of NC PLLC | Current |
Accepting new patients | |
| Upmc Community Medicine, Inc | Current | Accepting new patients | |
| Upmc Community Medicine Inc | Current |
Accepting new patients |
Locations
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
151 Goodview Dr
Apollo, PA 15613
Phone (724) 472-7345
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
339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
1105 Perry Hwy
Pittsburgh, PA 15237
Phone (412) 369-9955
500 Philadelphia Ave
Shillington, PA 19607
Phone (610) 777-7841
120 Lakeside Dr
Worthington, PA 16262
Phone (724) 445-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP018200 | PA | Yes |
Addresses
Primary practice location
151 Goodview Dr
Apollo, PA 15613-8527
Mailing address
151 Goodview Dr
Apollo, PA 15613-8527
Other providers in Apollo, PA
- Northwind Medical Equipment LLC
- Robert N Obradovich
- Joseph John Potocnik
- Pritchett Behavioral Health
- Quality Life Services - Apollo, LLC
- Rite Aid of Pennsylvania LLC
- Robert N Obradovich DMD LLC
- Simply at Home, LLC
- Barbara Smeltzer
- Thomas Charles Sobot
All providers in Apollo, PA · Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.