Hutsler Integrative Health PC
Organization Active NPI Family Medicine Physician · Mars, PA
NPI 1194577460 · NPPES record last updated Apr 2, 2024
Key facts
- NPI
- 1194577460
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- HUTSLER INTEGRATIVE HEALTH PC
- Practice address
- 6998 Crider Rd
Mars, PA 16046-2390 - Phone
- (412) 865-7839
- NPI assigned
- Apr 2, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Alecia Hutsler, DO
- Title
- Physician
- Phone
- (412) 865-7839
Practitioners 5
-
Alecia Renee Hutsler, D.O.
-
Dina Kathleen Myers, D.O.
-
Harry Charles Myers, D.O.
-
Domenic Michael Mantella, M.D.
-
Nicole Marie Maietta, CRNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2310939 | Hutsler Integrative Health PC | Certificate of waiver | Sep 12, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240522000208 | PA | Part B Supplier - Clinic/Group Practice | 5496197568 |
Receives reassigned benefits from 4 practitioners Practice locations: Mars, PA |
National Provider Directory
Locations
6998 Crider Rd
Ste 220
Mars, PA 16046
Phone (412) 604-3300
2119 Mercer Rd
New Brighton, PA 15066
Phone (724) 843-2119
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
6998 Crider Rd
Mars, PA 16046-2390
Mailing address
6998 Crider Rd
Mars, PA 16046-2390
Other names
- Cranberry Health Partners
Other providers in Mars, PA
- Amanda Nikolich Harvey
- Caran Hayes
- Jaclyn Herring
- Jordan Hoachlander
- Janae Huffman
- Alecia Renee Hutsler
- Syed S Hyder
- Robert E Irwin
- Shayla Jackson
- Jan Davis-Mars Home for Youth
All providers in Mars, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.