NPIMap

Individual provider Active NPI

Amanda Nicole Dalla Betta

  • Family Nurse Practitioner
  • Latrobe, PA
National Provider Identifier
1154913093
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022766 Issued in PA
Practice address
100 Excela Health Dr Ste 103
Latrobe, PA 15650-9001
Phone
(724) 804-1780
Fax
(724) 804-1777
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP022766 PA Primary

Addresses

Primary practice location

100 Excela Health Dr Ste 103
Latrobe, PA 15650-9001

Mailing address

100 Excela Health Dr Ste 103
Latrobe, PA 15650-9001
Phone (724) 804-1780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216001079 PA Practitioner - Nurse Practitioner 1355756875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excela Health Physician Practices, Inc 474 clinicians

Practice addresses (Care Compare)

100 Excela Health Dr
103 Excela Health Advanced Pain Center
Latrobe, PA 15650-1197
Phone (724) 804-1780

Hospital & facility affiliations

  • Excela Health - Frick Hospital Hospital, Mount Pleasant, PA, CCN 390217
  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

100 Excela Health Dr
Ste 103
Latrobe, PA 15650
Phone (724) 804-1780

100 Excela Health Dr
Ste 10
Latrobe, PA 15650

508 S Church St
Mt Pleasant, PA 15666
Phone (724) 547-1500

8775 Norwin Ave
North Huntingdon, PA 15642
Phone (724) 527-8031

Interoperability endpoints

  • Direct secure messaging: amandadallabetta@emg.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1154913093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EXCELA HEALTH DR STE 103",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156509001",
            "telephone_number": "724-804-1780",
            "fax_number": "724-804-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EXCELA HEALTH DR STE 103",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156509001",
            "telephone_number": "724-804-1780",
            "fax_number": "724-804-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLA BETTA",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.