Individual provider Active NPI

Stephanie L Venersky, CRNP

  • Family Nurse Practitioner
  • Uniontown, PA
National Provider Identifier
1124696323
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023432 Issued in PA
Practice address
30 Poplar LN
Uniontown, PA 15401-8969
Phone
(724) 439-4800
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 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 SP023432 PA Primary

Addresses

Primary practice location

30 Poplar LN
Uniontown, PA 15401-8969

Mailing address

30 Poplar LN
Uniontown, PA 15401-8969
Phone (724) 439-4800

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
I20220426000710 PA Practitioner - Nurse Practitioner 0941697726 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flores & Flores Medical Associates CurrentSince May 1, 2022 Accepting new patients
Tumeh Psychiatric Services, PLLC PastSince May 1, 2022 Accepting new patients

Locations

30 Poplar Ln
Uppr
Uniontown, PA 15401
Phone (724) 439-4800

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.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1124696323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 POPLAR LN",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018969",
            "telephone_number": "724-439-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 POPLAR LN",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018969",
            "telephone_number": "724-439-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENERSKY",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.