Nils Paul Magnusson, FNP-C PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP023043 Issued in PA

Practice address

43 Servidea Dr
Ridgway, PA 15853-6333

Phone

(814) 776-2145

Fax

(814) 776-1470

NPI assigned

Aug 28, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Squirrel Hill Health CenterGroup PAC ID 2567473937, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nils.magnusson.p1@direct.squirrelhillhealth.nextgenshare.com

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.

• Squirrel Hill Health Center

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
  • NPI 1982658308
  Medicare reassignment Care Compare group NPD
• Squirrel Hill Health Center

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
  • NPI 1891565446
  NPD

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346767696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SERVIDEA DR",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158536333",
            "telephone_number": "814-776-2145",
            "fax_number": "814-776-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 SERVIDEA DR",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158536333",
            "telephone_number": "814-776-2145",
            "fax_number": "814-776-1470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 S Michael St",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "PA",
            "postal_code": "158572132",
            "country_code": "US",
            "telephone_number": "814-834-9722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNUSSON",
        "first_name": "NILS",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "FNP-C PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP023043",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN639375",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean P Konrad, DC
• Rita Jane Kraus
• Life in Motion Chiropractic and Wellness
• Linda Mullen Lloyd, RN
• Betty Ann Lyle, LSW
• Mary Reed Dacanal OD Inc.
• Emma Grace McGonigal, LCSW
• Suzanne Louise Meyer Page, LPC
• John R Michalowski, LCSW
• Toni A Mosebarger, RN

• Psychiatric/Mental Health Nurse Practitioner in Ridgway, PA
• Providers in Ridgway, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.