Individual provider Active NPI

Alisha Jo Nowakowski, CRNP

  • Primary Care Nurse Practitioner
  • Greensburg, PA
National Provider Identifier
1154812147
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP018892 Issued in PA
Practice address
40 Huff Avenue Ext
Greensburg, PA 15601-5484
Phone
(724) 836-4662
Fax
(724) 836-2876
NPI assigned
May 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP018892 PA Primary

Addresses

Primary practice location

40 Huff Avenue Ext
Greensburg, PA 15601-5484

Mailing address

40 Huff Avenue Ext
Greensburg, PA 15601-5484
Phone (724) 836-4662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IN, OH, VA, WV, MD6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20180807002586 PA Practitioner - Nurse Practitioner 9335497379 Reassigns benefits to 4 organizations
I20251112002831 IN Practitioner - Nurse Practitioner 9335497379 Reassigns benefits to 1 organization
I20260112001667 OH Practitioner - Nurse Practitioner 9335497379 Reassigns benefits to 1 organization
I20260224002781 VA Practitioner - Nurse Practitioner 9335497379 Reassigns benefits to 1 organization
I20260227002521 WV Practitioner - Nurse Practitioner 9335497379 Reassigns benefits to 1 organization
I20260616000693 MD Practitioner - Nurse Practitioner 9335497379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Telehealth PCGroup PAC ID 9638585391, 63 clinicians

Practice addresses (Care Compare)

100 Heartland Dr
Beckley, WV 25801-2655
Phone (304) 256-1650

100 Hresan Blvd
Fayetteville, WV 25840-1333
Phone (304) 574-0770

100 Pkwy Dr
Clarksburg, WV 26301-4357
Phone (304) 624-6401

101 Potters LN
Clarksville, IN 47129-1017
Phone (812) 948-0808

1053 Clinic Dr
Ivydale, WV 25113-8266
Phone (304) 286-4204

10797 Seneca TRL S
Lindside, WV 24951-7345
Phone (304) 753-4332

1081 Maplewood Dr
Bridgeport, WV 26330-9848
Phone (304) 842-4135

1209 Indiana Ave
Saint Marys, OH 45885-1310
Phone (419) 394-7611

1242 Cedars CT
Charlottesville, VA 22903-4800
Phone (434) 296-5611

1263 S George St
Charles Town, WV 25414-4384
Phone (304) 725-6575

135 Reichart Ave
Wintersville, OH 43953-4050
Phone (740) 264-1155

135 Southern Dr
Keyser, WV 26726-2010
Phone (304) 788-3415

14751 Carey Rd
Carmel, IN 46033-9084
Phone (317) 575-2208

150 Beechmont Dr NE
Harrison Healthcare Center
Corydon, IN 47112-1717
Phone (812) 738-0550

150 Venus Rd
Gary, WV 24836-0220
Phone (304) 448-2121

155 Heritage Woods Dr
Copley, OH 44321-1398
Phone (330) 666-0980

1600 27TH St
Parkersburg, WV 26101-2815
Phone (304) 485-6476

1717 Skyline Dr
Pittsburgh, PA 15227-1744
Phone (412) 885-8400

18086 St RT
Suite 55
Baker, WV 26801-0070
Phone (304) 897-5903

183 Holbrook Rd
Buckhannon, WV 26201-0029
Phone (304) 472-3280

18840 Falling Water Rd
Strongsville, OH 44136-4200
Phone (440) 238-1100

1924 Glenwood Park Rd
Princeton, WV 24739-7969
Phone (304) 425-8128

198 John Cook Nursing Home Rd
Hinton, WV 25951-5074
Phone (304) 466-0332

199 Court St
Jane Lew, WV 26378-8548
Phone (304) 884-7811

20 Wilson Dr
Cameron, WV 26033-2024
Phone (304) 686-3318

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince May 1, 2020 Accepting new patients
Post Acute Telehealth PC Primary Care CurrentSince Oct 4, 2025 Accepting new patients
Forge Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients
Efren Leonida MD LLC CurrentSince Jul 30, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince May 1, 2020 Accepting new patients
Forge Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808

10 Bank St
Ste 830
White Plains, NY 10606
Phone (888) 224-7312

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

905 Tower Rd
Bristol, PA 19007
Phone (215) 785-2109

40 Huff Avenue Ext
Greensburg, PA 15601
Phone (724) 836-3960

1 Braddock Road Ave
Ste A
Mt Pleasant, PA 15666
Phone (724) 547-4565

1 Braddock Road Ave
Mt Pleasant, PA 15666
Phone (724) 547-4536

1717 Skyline Dr
Pittsburgh, PA 15227
Phone (412) 881-6168

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167

250 Flank Rd
Petersburg, VA 23805
Phone (804) 861-2223

287 E South Blvd
Petersburg, VA 23805
Phone (804) 562-6618

100 Heartland Dr
Beckley, WV 25801
Phone (304) 256-1650

183 Holbrook Rd
Buckhannon, WV 26201
Phone (304) 472-3280

Interoperability endpoints

  • Direct secure messaging: anowakowski38379@direct.optum.com
  • Direct secure messaging: alishabackus@leonidafamilypractice.ssdirect.aprima.com

Organizations & group practices 8

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1154812147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HUFF AVENUE EXT",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015484",
            "telephone_number": "724-836-4662",
            "fax_number": "724-836-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HUFF AVENUE EXT",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015484",
            "telephone_number": "724-836-4662",
            "fax_number": "724-836-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAKOWSKI",
        "first_name": "ALISHA",
        "middle_name": "JO",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP018892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.