Individual provider Active NPI

Lisa J Scibetta, CRNP

  • Nurse Practitioner
  • Erie, PA
National Provider Identifier
1124006325
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP001596D Issued in PA
Practice address
311 W 24TH St Ste 305
Erie, PA 16502-2666
Phone
(814) 454-4484
Fax
(814) 452-1809
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP001596D PA Primary

Addresses

Primary practice location

311 W 24TH St Ste 305
Erie, PA 16502-2666

Mailing address

311 W 24TH St Ste 305
Erie, PA 16502-2666
Phone (814) 454-4484

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lscibetta150988@direct.ahn.org

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
I20110401000622 PA Practitioner - Nurse Practitioner 6406030212 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Consultants in Cardiovascular Diseases PastSince Mar 1, 2011 Accepting new patients
Saint Vincent Medical Education and Research Institute Inc PastSince Feb 1, 2018 Accepting new patients
Saint Vincent Medical Education and Research Institute Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lscibetta150988@direct.ahn.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1124006325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST STE 305",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022666",
            "telephone_number": "814-454-4484",
            "fax_number": "814-452-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST STE 305",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022666",
            "telephone_number": "814-454-4484",
            "fax_number": "814-452-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIBETTA",
        "first_name": "LISA",
        "middle_name": "J",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP001596D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lscibetta150988@direct.ahn.org",
            "affiliation": "N",
            "address_1": "311 W 24th St Ste 305",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165022666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.