Individual provider Active NPI

Stephenie C. Swisher, CRNP

  • Nurse Practitioner
  • Kittanning, PA
National Provider Identifier
1144346065
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP009468 Issued in PA
Practice address
1 Nolte Dr
Suite 150
Kittanning, PA 16201-7111
Phone
(724) 548-1395
Fax
(724) 548-1396
NPI assigned
Mar 22, 2007
Last updated
Apr 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP009468 PA Primary
Acute Care Nurse Practitioner 363LA2100X SP009468 PA

Addresses

Primary practice location

1 Nolte Dr
Suite 150
Kittanning, PA 16201-7111

Mailing address

1 Nolte Dr
P.O. Box 1001
Kittanning, PA 16201-7111
Phone (724) 548-1395

Other practice location 1

111 Woody Dr
Butler, PA 16001-7603
Phone (724) 287-1000

Other practice location 2

29 E North St Ste 203
New Castle, PA 16101-3741
Phone (724) 856-7055

Other identifiers 1

IdentifierTypeStateIssuer
14097370001MedicaidPA

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
I20080305000224 PA Practitioner - Nurse Practitioner 8820173511 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP009468PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coordinated Kidney Care Group, Inc. CurrentSince Nov 1, 2007 Accepting new patients
Wasim Ahmed MD LLC Past Accepting new patients

Locations

111 Woody Dr
Butler, PA 16001
Phone (724) 287-1000

111 Woody Dr
Ste A
Butler, PA 16001

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

1 Nolte Dr
Bldg 700
Kittanning, PA 16201
Phone (412) 489-1980

1 Nolte Dr
Ste 150
Kittanning, PA 16201
Phone (412) 543-5919

2602 Wilmington Rd
Ste 103
New Castle, PA 16105
Phone (724) 656-4132

29 E North St
New Castle, PA 16101
Phone (724) 658-8255

29 E North St
Ste 203
New Castle, PA 16101
Phone (724) 657-3611

Interoperability endpoints

  • Direct secure messaging: sswisher@7544accf.micromddirect.com
  • Direct secure messaging: stephenieswisher@ntn.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1144346065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NOLTE DR",
            "address_2": "P.O. BOX 1001",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017111",
            "telephone_number": "724-548-1395",
            "fax_number": "724-548-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NOLTE DR",
            "address_2": "SUITE 150",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017111",
            "telephone_number": "724-548-1395",
            "fax_number": "724-548-1396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Woody Dr",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160017603",
            "country_code": "US",
            "telephone_number": "724-287-1000",
            "fax_number": "724-548-1396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 E North St Ste 203",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161013741",
            "country_code": "US",
            "telephone_number": "724-856-7055",
            "fax_number": "724-856-7034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWISHER",
        "first_name": "STEPHENIE",
        "middle_name": "C.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009468",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP009468",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14097370001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

Verify at the official NPI Registry.