Individual provider Active NPI

Angela Marie McClenathan, CRNP

  • Acute Care Nurse Practitioner
  • Washington, PA
National Provider Identifier
1306115811
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP011794 Issued in PA
Practice address
155 Wilson Ave
C/O Dr William Pendergast
Washington, PA 15301-3336
Phone
(724) 579-1654
NPI assigned
Dec 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP011794 PA
Acute Care Nurse Practitioner 363LA2100X SP011794 PA Primary

Addresses

Primary practice location

155 Wilson Ave
C/O Dr William Pendergast
Washington, PA 15301-3336

Mailing address

155 Wilson Ave
C/O Dr William Pendergast
Washington, PA 15301-3336
Phone (724) 579-1654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP011794PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Rehabilitation, Inc CurrentSince Jan 1, 2012 Accepting new patients
Positive Recovery Solutions, LLC Nurse Practitioner CurrentSince May 27, 2020 Accepting new patients
Pursuecare New Jersey PC Past Accepting new patients

Locations

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

378 W Chestnut St
Washington, PA 15301
Phone (412) 207-8874

378 W Chestnut St
Ste 103
Washington, PA 15301
Phone (724) 255-7545

103 Randolph Ave
Ste 177
Elkins, WV 26241

507 Burroughs St
Ste 109
Morgantown, WV 26505
Phone (304) 322-9922

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.

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1306115811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WILSON AVE",
            "address_2": "C/O DR WILLIAM PENDERGAST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013336",
            "telephone_number": "724-579-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILSON AVE",
            "address_2": "C/O DR WILLIAM PENDERGAST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013336",
            "telephone_number": "724-579-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENATHAN",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP011794",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP011794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.