Individual provider Active NPI

Rita Dawn Sipes, CRNP, AGNP-C

  • Nurse Practitioner
  • MC Connellsburg, PA
National Provider Identifier
1154800910
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP019011 Issued in PA
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

Updated by the provider on Mar 3, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
SP019011PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton County Medical Center CurrentSince Oct 18, 2018 Accepting new patients
Fulton County Medical Center CurrentSince Oct 18, 2018 Accepting new patients
Fulton County Medical Center CurrentSince Oct 18, 2018 Accepting new patients

Locations

626 Water St
Ste 1
Orbisonia, PA 17243
Phone (814) 447-5556

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.