Individual provider Active NPI

Karessa Annemarie Presnar, CRNP

  • Family Nurse Practitioner
  • Brackenridge, PA
National Provider Identifier
1184131344
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018448 Issued in PA
Practice address
985 Penn St Ste B
Brackenridge, PA 15014-1160
Phone
(724) 226-9960
Fax
(724) 226-9961
NPI assigned
Jan 9, 2018
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 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 SP018448 PA Primary

Addresses

Primary practice location

985 Penn St Ste B
Brackenridge, PA 15014-1160

Mailing address

192 Cover Rd
New Castle, PA 16105-6110

Other practice location 1

2602 Wilmington Rd Ste 103
New Castle, PA 16105-1539
Phone (724) 698-7915

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address valleyneuro2018@direct.practicefusion.com

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
I20230113000301 PA Practitioner - Nurse Practitioner 4587035381 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Kozminski DO PLLC CurrentSince Dec 1, 2022 Accepting new patients
Wellbe Senior Medical Group of Pennsylvania PC CurrentSince Jan 21, 2024 Accepting new patients
Valley Neurology Inc Past Accepting new patients

Locations

225 W Washington St
Ste 1500
Chicago, IL 60606
Phone (312) 776-2422

985 Penn St
Brackenridge, PA 15014
Phone (724) 226-9960

985 Penn St
Ste B
Brackenridge, PA 15014
Phone (724) 224-4446

215 E 1st Ave
Tarentum, PA 15084
Phone (724) 226-9960

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1184131344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 COVER RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161056110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 PENN ST STE B",
            "city": "BRACKENRIDGE",
            "state": "PA",
            "postal_code": "150141160",
            "telephone_number": "724-226-9960",
            "fax_number": "724-226-9961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Wilmington Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161051539",
            "country_code": "US",
            "telephone_number": "724-698-7915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESNAR",
        "first_name": "KARESSA",
        "middle_name": "ANNEMARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "valleyneuro2018@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "985 Penn St Ste B",
            "city": "Brackenridge",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150141160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brackenridge, PA

Sources for this page

Verify at the official NPI Registry.