Individual provider Active NPI

Kathryn Ann Valazak, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Indiana, PA
National Provider Identifier
1285267690
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP021519 Issued in PA
Practice address
850 Hospital Rd Ste 2200
Indiana, PA 15701-3663
Phone
(724) 464-0270
Fax
(724) 464-0274
NPI assigned
Feb 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP021519 PA Primary

Addresses

Primary practice location

850 Hospital Rd Ste 2200
Indiana, PA 15701-3663

Mailing address

640 Kolter Dr
Indiana, PA 15701-3570
Phone (724) 357-7196

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
I20200507001814 PA Practitioner - Nurse Practitioner 5395176333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indiana Healthcare Physician Services IncGroup PAC ID 5294723359, 151 clinicians

Practice addresses (Care Compare)

850 Hospital Rd
Suite 2200
Indiana, PA 15701-3663
Phone (724) 464-0270

Hospital & facility affiliations

  • Indiana Regional Medical Center Hospital, Indiana, PA, CCN 390173

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nulton Diagnostic & Treatment Center, PC. CurrentSince Aug 29, 2022 Accepting new patients
Indiana Healthcare Physician Services Inc CurrentSince Apr 30, 2020 Accepting new patients
Nulton Diagnostic & Treatment Center, PC CurrentSince Aug 29, 2022 Accepting new patients
Indiana Healthcare Physician Services, Inc CurrentSince Apr 30, 2020 Accepting new patients

Locations

145 Irmc Dr
Indiana, PA 15701
Phone (724) 357-7404

850 Hospital Rd
Ste 2200
Indiana, PA 15701
Phone (724) 464-0270

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

214 College Park Plz
Johnstown, PA 15904
Phone (814) 262-0025

Organizations & group practices 4

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 4

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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1285267690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570",
            "telephone_number": "724-357-7196",
            "fax_number": "724-357-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HOSPITAL RD STE 2200",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013663",
            "telephone_number": "724-464-0270",
            "fax_number": "724-464-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALAZAK",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP021519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.