Tracey J Kniess, CRNP

Individual provider Active NPI Family Nurse Practitioner · Mars, PA

NPI 1295734846 · NPPES record last updated Nov 21, 2008

Key facts

NPI
1295734846
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
TP004973W (PA)
Practice address
600 Adams Shoppes
Mars, PA 16046-3966
Phone
(724) 779-5062
NPI assigned
Jul 17, 2005
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Pittsburgh, LTD Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TP004973W PA Yes

Addresses

Primary practice location

600 Adams Shoppes
Mars, PA 16046-3966

Mailing address

128 William Dr
Coraopolis, PA 15108-3428
Phone (412) 809-8934

Other providers in Mars, PA

All providers in Mars, PA · Family Nurse Practitioner in Pennsylvania

Sources for this page

Verify at the official NPI Registry.