Individual provider Active NPI

Kellie Biddle, CRNP

  • Family Medicine Physician
  • Washington, PA
National Provider Identifier
1174377337
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP029543 Issued in PA
Practice address
95 Leonard Ave BLDG 22ND
Washington, PA 15301-3368
Phone
(724) 223-3100
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP029543 PA Primary

Addresses

Primary practice location

95 Leonard Ave BLDG 22ND
Washington, PA 15301-3368

Mailing address

95 Leonard Ave BLDG 22ND
Washington, PA 15301-3368
Phone (724) 223-3100

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
I20240506001535 PA Practitioner - Nurse Practitioner 6709226806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Physician Services 106 clinicians
Upmc Washington 21 clinicians

Practice addresses (Care Compare)

190 N Main St
Suite 204
Washington, PA 15301-4395
Phone (724) 225-9970

300 Technology Dr
Coal Center, PA 15423-1065
Phone (724) 225-3640

3415 Millers Run Rd
Cecil, PA 15321-1403
Phone (724) 874-7414

95 Leonard Ave
Washington, PA 15301-3368
Phone (724) 223-3100

Hospital & facility affiliations

  • Washington Hospital, the Hospital, Washington, PA, CCN 390042

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Washington Family Medicine CurrentSince Apr 29, 2024 Accepting new patients
Concordia Hospice of Washington Family Medicine CurrentSince Apr 29, 2024 Accepting new patients
Upmc Washington Past Accepting new patients

Locations

100 S Central Ave
Canonsburg, PA 15317
Phone (724) 745-4100

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

95 Leonard Ave
Bldg 22ND
Washington, PA 15301
Phone (724) 223-3100

95 Leonard Ave
Washington, PA 15301
Phone (724) 223-3100

95 Leonard Ave
Bldg 2
Washington, PA 15301
Phone (724) 223-3100

95 Leonard Ave
Fl 3
Washington, PA 15301

Organizations & group practices 6

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 2

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1174377337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 LEONARD AVE BLDG 22ND",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013368",
            "telephone_number": "724-223-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 LEONARD AVE BLDG 22ND",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013368",
            "telephone_number": "724-223-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDDLE",
        "first_name": "KELLIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP029543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.