Individual provider Active NPI

Todd A Slezak, CRNP

  • Nurse Practitioner
  • New Kensington, PA
National Provider Identifier
1154364990
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP008382 Issued in PA
Practice address
1600 Wildlife Lodge Rd Ste 1
New Kensington, PA 15068-3652
Phone
(243) 359-7337
Fax
(243) 359-7347
NPI assigned
Jun 13, 2006
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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 SP008382 PA Primary
Family Nurse Practitioner 363LF0000X SP008382 PA

Addresses

Primary practice location

1600 Wildlife Lodge Rd Ste 1
New Kensington, PA 15068-3652

Mailing address

339 Old Haymaker Rd Ste 209
Monroeville, PA 15146-1684
Phone (724) 850-8118

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
I20041102001108 PA Practitioner - Nurse Practitioner 7911969803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways Human Services of Pennsylvania, LLCGroup PAC ID 0941610091, 20 clinicians

Practice addresses (Care Compare)

339 Old Haymaker Rd
Suite 208
Monroeville, PA 15146-1686
Phone (412) 824-4005

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Human Services of Pennsylvania, LLC CurrentSince Oct 1, 2020 Accepting new patients
Pathways Human Services of Pennsylvania, LLC CurrentSince Oct 13, 2024 Accepting new patients
Innersight LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Valley Psychiatry, P.C. Past Accepting new patients
Valley Psychiatry, PC Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

4731 Route 30
Ste 302
Greensburg, PA 15601
Phone (724) 830-9350

4731 Route 30
Ste 404
Greensburg, PA 15601
Phone (724) 335-9733

321 Main St
Ste 3C
Johnstown, PA 15901
Phone (814) 262-0768

339 Old Haymaker Rd
Ste 208
Monroeville, PA 15146
Phone (412) 824-4005

339 Old Haymaker Rd
Ste 209
Monroeville, PA 15146
Phone (724) 850-8118

1600 Wildlife Lodge Rd
Ste 1
New Kensington, PA 15068
Phone (243) 359-7337

3 Kensington Sq
#B
New Kensington, PA 15068
Phone (724) 335-9733

Organizations & group practices 7

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1154364990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 OLD HAYMAKER RD STE 209",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461684",
            "telephone_number": "724-850-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WILDLIFE LODGE RD STE 1",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150683652",
            "telephone_number": "243-359-7337",
            "fax_number": "243-359-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEZAK",
        "first_name": "TODD",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP008382",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP008382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Kensington, PA

Sources for this page

Verify at the official NPI Registry.