Individual provider Active NPI

Sarah Cordelia Guzik, CRNP

  • Family Nurse Practitioner
  • Indiana, PA
National Provider Identifier
1104682822
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029311 Issued in PA
Practice address
640 Kolter Dr
Indiana, PA 15701-3570
Phone
(888) 452-4762
NPI assigned
Feb 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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 SP029311 PA Primary

Addresses

Primary practice location

640 Kolter Dr
Indiana, PA 15701-3570

Mailing address

640 Kolter Dr
Indiana, PA 15701-3570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

640 Kolter Dr
Indiana, PA 15701-3570

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP029311PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Healthcare Physician Services Inc Family Medicine CurrentSince Jun 3, 2024 Accepting new patients
Indiana Healthcare Physician Services Inc Family CurrentSince Jun 3, 2024 Accepting new patients

Locations

25 Colony Blvd
Ste 102
Blairsville, PA 15717
Phone (724) 459-9111

1265 Wayne Ave
Ste 102
Indiana, PA 15701
Phone (724) 349-4411

841 Hospital Rd
Ste 2500
Indiana, PA 15701
Phone (724) 349-4360

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

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 4

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": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1104682822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570",
            "telephone_number": "888-452-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZIK",
        "first_name": "SARAH",
        "middle_name": "CORDELIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.