Active NPI
Rita Dawn Sipes, CRNP, AGNP-C
- Nurse Practitioner
- MC Connellsburg, PA
National Provider Identifier
1154800910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP019011
- Practice address
- 214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559 - Phone
- (717) 485-3155
- NPI assigned
- Aug 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP019011 | PA | Primary |
Addresses
Primary practice location
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Mailing address
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone (717) 485-7300
Other practice location 1
626 Water St Ste 1
Orbisonia, PA 17243-9432
Phone (814) 447-5556
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181119000160 | PA | Practitioner - Nurse Practitioner | 8022362615 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP019011 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fulton County Medical Center | Current | Accepting new patients | |
| Fulton County Medical Center | Current | Accepting new patients | |
| Fulton County Medical Center | Current | Accepting new patients |
Locations
626 Water St
Ste 1
Orbisonia, PA 17243
Phone (814) 447-5556
Interoperability endpoints
- rsipes@landmarkhealth-direct.org
Organizations & group practices 3
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.
-
- Critical Access Hospital
- MC Connellsburg, PA
- NPI 1386722312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1154800910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 PEACH ORCHARD RD",
"city": "MC CONNELLSBURG",
"state": "PA",
"postal_code": "172338559",
"telephone_number": "717-485-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 PEACH ORCHARD RD",
"city": "MC CONNELLSBURG",
"state": "PA",
"postal_code": "172338559",
"telephone_number": "717-485-3155"
}
],
"practiceLocations": [
{
"address_1": "626 Water St Ste 1",
"address_purpose": "LOCATION",
"city": "Orbisonia",
"state": "PA",
"postal_code": "172439432",
"country_code": "US",
"telephone_number": "814-447-5556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIPES",
"first_name": "RITA",
"middle_name": "DAWN",
"credential": "CRNP, AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-12",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP019011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Connellsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.