Individual provider Active NPI

Hannah Rose Kondrlik, CRNP

  • Nurse Practitioner
  • Erie, PA
National Provider Identifier
1306544036
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP027173 Issued in PA
Practice address
300 State St Ste 400a
Erie, PA 16507-1478
Phone
(814) 877-6997
Fax
(814) 877-6356
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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 SP027173 PA Primary

Addresses

Primary practice location

300 State St Ste 400a
Erie, PA 16507-1478

Mailing address

300 State St Ste 400a
Erie, PA 16507-1478
Phone (814) 877-6997

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com

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
I20230421001642 PA Practitioner - Nurse Practitioner 3375908577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Geskin Medical LLCGroup PAC ID 4981006640, 20 clinicians

Practice addresses (Care Compare)

1633 Route 51
Suite 105
Jefferson Hills, PA 15025-3652
Phone (412) 775-3019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027173PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geskin Medical LLC CurrentSince May 1, 2023 Accepting new patients
Regional Health Services Inc CurrentSince Feb 27, 2023 Accepting new patients

Locations

300 State St
Ste 400A
Erie, PA 16507
Phone (814) 454-8287

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

1633 Route 51
Ste 105
Jefferson Hls, PA 15025
Phone (412) 775-2019

2 Hot Metal St
Fl 3
Pittsburgh, PA 15203
Phone (412) 432-5869

Organizations & group practices 2

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1306544036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 400A",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071478",
            "telephone_number": "814-877-6997",
            "fax_number": "814-877-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 400A",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071478",
            "telephone_number": "814-877-6997",
            "fax_number": "814-877-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDRLIK",
        "first_name": "HANNAH",
        "middle_name": "ROSE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP027173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "N",
            "address_1": "300 State St Ste 400A",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165071478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.