Active NPI
Nathan Petula, PA-C
- Physician Assistant
- Shippensburg, PA
National Provider Identifier
1245363365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- OA000790
- Practice address
- 127 Walnut Bottom Rd
Shippensburg, PA 17257-8131 - Phone
- (717) 532-3211
- Fax
- (717) 532-3099
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OA000790 | PA | Primary |
Addresses
Primary practice location
127 Walnut Bottom Rd
Shippensburg, PA 17257-8131
Mailing address
97 Progress Blvd
Ste 1
Shippensburg, PA 17257-9053
Phone (717) 532-3211
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
93 Progress Blvd
Shippensburg, PA 17257-9595
Phone (717) 532-3211
Hospital & facility affiliations
- Residential Home Health of Carlisle, LLC
- Wellspan Chambersburg Hospital
- Upmc Carlisle
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA000790 | PA | MD | Physician Assistant |
Interoperability endpoints
- npetula@wellmonfamilypractice.medentdirect.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Shippensburg, PA
- NPI 1356474456
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Mechanicsburg, PA
- NPI 1396797163
-
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
- General Acute Care Hospital
- Carlisle, PA
- NPI 1689107328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515974400000",
"number": "1245363365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 PROGRESS BLVD",
"address_2": "STE 1",
"city": "SHIPPENSBURG",
"state": "PA",
"postal_code": "172579053",
"telephone_number": "717-532-3211",
"fax_number": "717-532-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 WALNUT BOTTOM RD",
"city": "SHIPPENSBURG",
"state": "PA",
"postal_code": "172578131",
"telephone_number": "717-532-3211",
"fax_number": "717-532-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETULA",
"first_name": "NATHAN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2018-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA000790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shippensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.