Individual provider Active NPI

Brittany Noelle Lanich, CRNP

  • Nurse Practitioner
  • Du Bois, PA
National Provider Identifier
1255085361
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP025335 Issued in PA
Practice address
621 S Main St
Du Bois, PA 15801-1413
Phone
(814) 229-7520
NPI assigned
Feb 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP025335 PA Primary

Addresses

Primary practice location

621 S Main St
Du Bois, PA 15801-1413

Mailing address

830 Woodel Rd
Grampian, PA 16838-9052
Phone (814) 553-4112

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
I20220416000144 PA Practitioner - Nurse Practitioner 5799171971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

  • Penn Highlands Community Nurses Home health agency, Clearfield, PA, CCN 397091
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP025335PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fore Your Health Family Medicine, LLC CurrentSince May 3, 2022 Accepting new patients
Brookville Hospital Nurse Practitioner CurrentSince Apr 17, 2022 Accepting new patients
Brookville Hospital Nurse Practitioner CurrentSince Apr 17, 2022 Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

605 State St
Curwensville, PA 16833
Phone (814) 236-3993

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Midway Dr
Dubois, PA 15801
Phone (814) 299-7152

271 Railroad St
Philipsburg, PA 16866
Phone (814) 342-1872

Interoperability endpoints

  • Direct secure messaging: blanich@foreyourhealth.medentdirect.com

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 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1255085361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 WOODEL RD",
            "city": "GRAMPIAN",
            "state": "PA",
            "postal_code": "168389052",
            "telephone_number": "814-553-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S MAIN ST",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011413",
            "telephone_number": "814-229-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANICH",
        "first_name": "BRITTANY",
        "middle_name": "NOELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP025335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.