Individual provider Active NPI

Debra Ann Schettini-Prasko, DO

  • Family Medicine Physician
  • Indiana, PA
National Provider Identifier
1205899432
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS008534L Issued in PA
Practice address
2128 Oakland Ave
Indiana, PA 15701-3384
Phone
(724) 463-1064
Fax
(724) 723-2873
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 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 OS008534L PA Primary

Addresses

Primary practice location

2128 Oakland Ave
Indiana, PA 15701-3384

Mailing address

531 Griffith Rd
Hastings, PA 16646-7405
Phone (814) 948-6289

Other identifiers 1

IdentifierTypeStateIssuer
0015850910010MedicaidPA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040922000886 PA Practitioner - Family Practice 2466420955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icare MedicalGroup PAC ID 7315118536, 7 clinicians

Practice addresses (Care Compare)

100 Susan Dr
Johnstown, PA 15905-2826
Phone (814) 255-1963

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Medical CurrentSince Jan 1, 2025 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Conemaugh Valley Memorial Hospital Past Accepting new patients

Locations

701 Valley View Blvd
Altoona, PA 16602
Phone (814) 799-0866

48 Short Dr
Blairsville, PA 15717
Phone (724) 235-7793

1333 Plank Rd
Ste A
Duncansville, PA 16635
Phone (814) 693-5080

167 Zeman Dr
Ebensburg, PA 15931
Phone (814) 472-9119

100 Susan Dr
Johnstown, PA 15905
Phone (814) 255-1963

411 Theatre Dr
Johnstown, PA 15904
Phone (814) 266-3934

4905 William Penn Hwy
Monroeville, PA 15146
Phone (724) 327-5665

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1205899432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 GRIFFITH RD",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166467405",
            "telephone_number": "814-948-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 OAKLAND AVE",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013384",
            "telephone_number": "724-463-1064",
            "fax_number": "724-723-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHETTINI-PRASKO",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008534L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015850910010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.