Hilary Ann Bluedorn, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP029551 Issued in PA

Practice address

150 N New Castle St
New Wilmington, PA 16142-1019

Phone

(724) 946-3564

Fax

(724) 946-3564

NPI assigned

Apr 4, 2024

Last updated

Apr 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Medical Care of Lawrence County, Inc

  • Family Medicine Physician
  • New Wilmington, PA
  • NPI 1598803736
  Medicare reassignment NPD
• Family Medical Care of Lawrence County

  • Non-Pharmacy Dispensing Site
  • New Wilmington, PA
  • NPI 1063554699
  NPD (past)

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1174375844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N NEW CASTLE ST",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "161421019",
            "telephone_number": "724-946-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N NEW CASTLE ST",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "161421019",
            "telephone_number": "724-946-3564",
            "fax_number": "724-946-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUEDORN",
        "first_name": "HILARY",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP029551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addiction Healing Alliance, LLC
• Heather Nicole Allen, D.C.
• Stephany Lynn Bruckner, MA-CCC/SLP
• Terry E Buckwalter Jr.
• Katie Marie Callahan, DPT
• Amanda Carl
• Kristy A. Carnahan, MSED, LPC

• Nurse Practitioner in New Wilmington, PA
• Providers in New Wilmington, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.