Individual provider Active NPI

Nicole Marie Maietta, CRNP

  • Family Nurse Practitioner
  • Monaca, PA
National Provider Identifier
1164948725
Registry record updated Jan 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017373 Issued in PA
Practice address
3942 Brodhead Rd
Monaca, PA 15061-3028
Phone
(724) 773-1994
NPI assigned
Aug 16, 2017
Last updated
Jan 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP017373 PA Primary
Internal Medicine Physician 207R00000X SP017373 PA

Addresses

Primary practice location

3942 Brodhead Rd
Monaca, PA 15061-3028

Mailing address

505 Emerald Dr
Ellwood City, PA 16117-2972

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
I20190131000133 PA Practitioner - Nurse Practitioner 6002181146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2580 Constitution Blvd
Beaver Falls, PA 15010-1294
Phone (724) 843-4700

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017373PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc CurrentSince Jan 7, 2019 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Internal Medicine CurrentSince Jan 7, 2019 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Internal Medicine Current Accepting new patients
Hutsler Integrative Health PC Past Accepting new patients

Locations

1000 Dutch Ridge Rd
Ofc
Beaver, PA 15009
Phone (724) 773-2014

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

6998 Crider Rd
Ste 220
Mars, PA 16046
Phone (412) 604-3300

3942 Brodhead Rd
Monaca, PA 15061
Phone (724) 773-0240

Interoperability endpoints

  • Direct secure messaging: crnpmaietta@chp.medentdirect.com
  • Direct secure messaging: nicolemaietta@hvhs.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546646400000",
    "number": "1164948725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 EMERALD DR",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3942 BRODHEAD RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613028",
            "telephone_number": "724-773-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIETTA",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2019-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017373",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "SP017373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monaca, PA

Sources for this page

Verify at the official NPI Registry.