Individual provider Active NPI

Daniel Williams, CRNP

  • Family Nurse Practitioner
  • Bridgeville, PA
National Provider Identifier
1104959907
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP008550 Issued in PA
Practice address
1025 Washington Pike Ste 3
Bridgeville, PA 15017-2702
Phone
(412) 221-3377
Fax
(412) 257-2744
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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 SP008550 PA Primary

Addresses

Primary practice location

1025 Washington Pike Ste 3
Bridgeville, PA 15017-2702

Mailing address

1000 Bower Hill Road
St. Clair Hospital - Affiliate Billing - Pamalyn
Pittsburgh, PA 15243-1873
Phone (412) 942-2548

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)

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
I20081003000641 PA Practitioner - Nurse Practitioner 2365510385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873

1050 Bower Hill Rd
Pittsburgh, PA 15243-1866
Phone (412) 572-6164

Hospital & facility affiliations

  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St. Clair Medical Services, Inc. CurrentSince Jan 1, 2009 Accepting new patients
St Clair Medical Services Inc CurrentSince Jan 1, 2009 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients

Locations

5187 Library Rd
Bethel Park, PA 15102
Phone (412) 835-4886

1025 Washington Pike
Ste 3
Bridgeville, PA 15017
Phone (412) 221-3377

1050 Bower Hill Rd
Ste 101
Pittsburgh, PA 15243
Phone (412) 343-1770

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Interoperability endpoints

  • Direct secure messaging: danielwilliams@sch.allscriptsdirect.net

Organizations & group practices 3

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 1

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1104959907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL ROAD",
            "address_2": "ST. CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 WASHINGTON PIKE STE 3",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172702",
            "telephone_number": "412-221-3377",
            "fax_number": "412-257-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP008550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "1025 Washington Pike Ste 3",
            "city": "Bridgeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150172702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.