Active NPI
Nicole Ignatius, D.O.
- Family Medicine Physician
- Du Bois, PA
National Provider Identifier
1114227683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS016283
- Practice address
- 90 Beaver Dr Ste 121D
Du Bois, PA 15801-2441 - Phone
- (814) 503-4837
- Fax
- (814) 503-4697
- NPI assigned
- Oct 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OT013241 | PA | |
| Family Medicine Physician | 207Q00000X | OS016283 | PA | Primary |
Addresses
Primary practice location
90 Beaver Dr Ste 121D
Du Bois, PA 15801-2441
Mailing address
90 Beaver Dr Ste 121D
Du Bois, PA 15801-2441
Phone (814) 503-4837
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102769793 | Medicaid | PA |
Other names 1
- Dr. Nicole Sweitzer
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drnicole@ignatiusfamily.medentdirect.com | Direct |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130104000311 | PA | Practitioner - Family Practice | 4789837444 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
90 Beaver Dr
Suite 121D
Du Bois, PA 15801-2441
Phone (814) 431-5804
Hospital & facility affiliations
- Penn Highlands Dubois
- Penn Highlands Elk
- Punxsutawney Area Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS016283 | PA | MD | Family Medicine Physician |
| OT013241 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ignatius Family Medicine & Wellness LTD | Family Medicine | Current | Accepting new patients |
Locations
90 Beaver Dr
Ste 121D
Dubois, PA 15801
Phone (814) 371-3323
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1326787409
Family Medicine, PA
Hospital & facility affiliations 30
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Maternal & Fetal Medicine Physician
- Du Bois, PA
- NPI 1033213608
Hospital
-
- Endocrinology, Diabetes & Metabolism Physician
- Du Bois, PA
- NPI 1245341387
Hospital
-
- Cardiovascular Disease Physician
- Punxsutawney, PA
- NPI 1407941305
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1114227683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 BEAVER DR STE 121D",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158012441",
"telephone_number": "814-503-4837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 BEAVER DR STE 121D",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158012441",
"telephone_number": "814-503-4837",
"fax_number": "814-503-4697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGNATIUS",
"first_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-29",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OT013241",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS016283",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102769793",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drnicole@ignatiusfamily.medentdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address/ePHI address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "90 Beaver Dr Ste 121D",
"city": "Du Bois",
"state": "PA",
"country_code": "US",
"postal_code": "158012441",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "SWEITZER",
"prefix": "DR.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.