Stacy Kowalczyk, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

TP005917B Issued in PA

Practice address

339 W Spring St
Suite 102
Titusville, PA 16354-1655

Phone

(814) 827-9675

NPI assigned

Jun 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Titusville Area HospitalGroup PAC ID 8022907575, shared by 16 NPIs, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Titusville Area Hospital Hospital, Titusville, PA, CCN 391314

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacy.kowalcyzk@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oil Valley Internal Medicine Associates PC

  • Internal Medicine Physician
  • Titusville, PA
  • NPI 1598871550
  Medicare reassignment NPD
• Titusville Area Hospital

  • Rural Health Clinic/Center
  • Titusville, PA
  • NPI 1740774207
  Medicare reassignment NPD
• Titusville Area Hospital

  • Rural Health Clinic/Center
  • Oil City, PA
  • NPI 1760976336
  Medicare reassignment NPD
• Titusville Area Hospital

  • Audiologist
  • Titusville, PA
  • NPI 1306712104
  NPD
• Titusville Area Health Services, Inc.

  • Surgery Physician
  • Titusville, PA
  • NPI 1255349981
  NPD (past)
• Titusville Area Health Services, Inc.

  • Family Medicine Physician
  • Titusville, PA
  • NPI 1639189889
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Titusville Area Hospital

  • Critical Access Hospital
  • Titusville, PA
  • NPI 1891899332
  Care Compare affiliation

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326077637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12053 CAMPBELL RD",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163545621",
            "telephone_number": "814-827-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W SPRING ST",
            "address_2": "SUITE 102",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541655",
            "telephone_number": "814-827-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALCZYK",
        "first_name": "STACY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP005917B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea M Kessler, PT & OT
• Moiz Khan, DDS, MS
• Tosha Kight, RN
• Valerie Jo Kinney, PHARMD
• Rebecca Kirkland, PT
• Stephen Edward Kriner, PT
• James Leo Kristobak, DMD
• Patricia Anne L'Huillier, RPH
• Michelle Lee Lafferty, LCSW
• Arthur A Lewis, MD

• Nurse Practitioner in Titusville, PA
• Providers in Titusville, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.