John Joseph Letzo, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F354838 Issued in NY

Practice address

354 Clymer Corry Rd
Clymer, NY 14724-9701

Phone

(716) 355-2248

Fax

(716) 355-2254

NPI assigned

Aug 6, 2024

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10044/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-usa.unify.chbase.com/org/corrymh-73713d5f
• Direct secure messaging: john.letzo.1@10044.direct.athenahealth.com

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.

• Corry Memorial Hospital Association

  • Rural Health Clinic/Center
  • Clymer, NY
  • NPI 1255922043

  Family

  Medicare reassignment NPD
• Corry Memorial Hospital Association

  dba Corry Memorial Hospital Rural Health Clinic

  • Rural Health Clinic/Center
  • Corry, PA
  • NPI 1124406376
  Medicare reassignment NPD
• Corry Memorial Hospital Association

  • Rural Health Clinic/Center
  • Union City, PA
  • NPI 1255967956

  Family

  Medicare reassignment NPD
• Mill Village Volunteer Fire Co

  • Land Ambulance
  • Mill Village, PA
  • NPI 1376532192
  NPD
• Corry Memorial Hospital Association

  • Critical Access Hospital
  • Corry, PA
  • NPI 1255788014
  NPD (past)

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1114757903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LECOM PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052571",
            "telephone_number": "814-868-2529",
            "fax_number": "814-868-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 CLYMER CORRY RD",
            "city": "CLYMER",
            "state": "NY",
            "postal_code": "147249701",
            "telephone_number": "716-355-2248",
            "fax_number": "716-355-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETZO",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F354838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corry Medical Services, Inc
• Corry Medical Services, Inc. (Clymer Health Center)
• Corry Memorial Hospital Association
• Brent L Deuink, D.M.D.
• Trevor Glenn Gleason, PTA
• Kimberly Diane Phillips, OT/L, CSSID
• Sara Ann Sullivan, PT

• Family Nurse Practitioner in Clymer, NY
• Providers in Clymer, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.