Individual provider Active NPI

Regina S Kuncelman, CRNP

  • Acute Care Nurse Practitioner
  • Hastings, PA
National Provider Identifier
1316372881
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP013201 Issued in PA
Practice address
1020 Municipal Rd
Hastings, PA 16646-6811
Phone
(814) 248-0680
NPI assigned
Sep 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN596128 PA
Acute Care Nurse Practitioner 363LA2100X SP013201 PA Primary

Addresses

Primary practice location

1020 Municipal Rd
Hastings, PA 16646-6811

Mailing address

1020 Municipal Rd
Hastings, PA 16646-6811

Other identifiers 1

IdentifierTypeStateIssuer
103076079-0001MedicaidPA

Other names 1

  • Miss Regina S Paronish Former name

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
I20141106001505 PA Practitioner - Nurse Practitioner 4981826997 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN596128PAMDRegistered Nurse
SP013201PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ars Treatment Centers, P.C. CurrentSince Jun 12, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 10, 2024 Accepting new patients
Ars Treatment Centers, P.C. CurrentSince Jun 12, 2023 Accepting new patients

Locations

220 S Main St
Ste A
Butler, PA 16001

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

2317 E Westmoreland St
Philadelphia, PA 19134
Phone (215) 291-3115

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1316372881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MUNICIPAL RD",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166466811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MUNICIPAL RD",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166466811",
            "telephone_number": "814-248-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNCELMAN",
        "first_name": "REGINA",
        "middle_name": "S",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN596128",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP013201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103076079-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "PARONISH",
            "middle_name": "S",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hastings, PA

Sources for this page

Verify at the official NPI Registry.