Heidi Faller, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP020201 Issued in PA

Practice address

30 Pinnacle Dr Ste 301
Clarion, PA 16214-3800

Phone

(833) 684-1896

Fax

(814) 226-1824

NPI assigned

Feb 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Heidi Brown Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Butler Medical Providers

  • Gastroenterology Physician
  • Butler, PA
  • NPI 1619493046
  Medicare reassignment NPD
• Butler Medical Providers

  • Rural Health Clinic/Center
  • Fairmount City, PA
  • NPI 1386253854
  NPD
• Butler Medical Providers

  • Family Medicine Physician
  • Grove City, PA
  • NPI 1619361946
  NPD
• Butler Medical Providers

  • Anatomic Pathology & Clinical Pathology Physician
  • Butler, PA
  • NPI 1447283031
  NPD (past)
• Southern Tier Pediatrics Practice, P.C.

  • Pediatric Adolescent Medicine Physician
  • Jamestown, NY
  • NPI 1710902200
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1154888683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PINNACLE DR STE 301",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162143800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PINNACLE DR STE 301",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162143800",
            "telephone_number": "833-684-1896",
            "fax_number": "814-226-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLER",
        "first_name": "HEIDI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "344094",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "BROWN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Eisenman, MA
• Ahmed Elsanousi, MD
• Courtney Enterline
• Michael Esang, M.B.B.CH.
• Jenna Fair, RECOVERY COACH
• Michelle Fetzer
• Shelby Fillman
• David Lee Forsythe, RN,FP-C
• Thomas Francis Freenock Jr., M.D.
• Derek Fritz

• Nurse Practitioner in Clarion, PA
• Providers in Clarion, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.

Verify at the official NPI Registry.