Individual provider Active NPI

Craig Jacob Hasper, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Clarion, PA
National Provider Identifier
1376062703
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP015443 Issued in PA
Practice address
30 Pinnacle Dr
Clarion, PA 16214-3800
Phone
(814) 223-9914
Fax
(814) 223-9917
NPI assigned
Sep 18, 2017
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP015443 PA Primary

Addresses

Primary practice location

30 Pinnacle Dr
Clarion, PA 16214-3800

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (814) 223-9914

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
I20220919003395 PA Practitioner - Nurse Practitioner 6507241056 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Oct 17, 2022 Accepting new patients
Primary Health Network CurrentSince Oct 17, 2022 Accepting new patients
MHM Inc. Past Accepting new patients

Locations

30 Pinnacle Dr
Clarion, PA 16214
Phone (814) 223-9900

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

811 Grandview Rd
Ste 100
Oil City, PA 16301
Phone (814) 670-7950

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

120 S Martin St
Titusville, PA 16354
Phone (814) 827-2938

Interoperability endpoints

  • Direct secure messaging: craighasper@primaryhn.medalliesdirect.net

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, 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": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1376062703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "814-223-9914",
            "fax_number": "814-223-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PINNACLE DR",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162143800",
            "telephone_number": "814-223-9914",
            "fax_number": "814-223-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASPER",
        "first_name": "CRAIG",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP015443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, PA

Sources for this page

Verify at the official NPI Registry.