Individual provider Active NPI

Carole Leigh Hegedty, FNP

  • Nurse Practitioner
  • Nicholson, PA
National Provider Identifier
1326694175
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP020520 Issued in PA
Practice address
2631 US 11
Nicholson, PA 18446-0591
Phone
(570) 942-6707
Fax
(570) 942-6708
NPI assigned
Aug 16, 2019
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 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 SP020520 PA Primary
Family Medicine Physician 207Q00000X SP020520 PA

Addresses

Primary practice location

2631 US 11
Nicholson, PA 18446-0591

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other names 1

  • Carole Leigh Czepiel Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cczepiel146717@direct-guthrie.org Direct

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
I20191107001776 PA Practitioner - Nurse Practitioner 4183056435 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020520PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Geisinger Clinic CurrentSince Sep 6, 2022 Accepting new patients
Guthrie Medical Group, P.C, Current Accepting new patients
Guthrie Medical Group, P.C. Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Geisinger Clinic Family Medicine CurrentSince Sep 6, 2022 Accepting new patients
Guthrie Medical Group, P.C. Family Medicine Current Accepting new patients
Geisinger Clinic Family Medicine PastSince Sep 6, 2022 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

132 Colonial Dr
Towanda, PA 18848
Phone (570) 265-6165

Interoperability endpoints

  • Direct secure messaging: chegedty503749@direct.geisinger.edu

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1326694175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 US 11",
            "city": "NICHOLSON",
            "state": "PA",
            "postal_code": "184460591",
            "telephone_number": "570-942-6707",
            "fax_number": "570-942-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGEDTY",
        "first_name": "CAROLE",
        "middle_name": "LEIGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020520",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP020520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cczepiel146717@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "132 Colonial Dr",
            "city": "Towanda",
            "state": "PA",
            "country_code": "US",
            "postal_code": "188488107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAROLE",
            "last_name": "CZEPIEL",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nicholson, PA

Sources for this page

Verify at the official NPI Registry.