Annette Kubalek

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP017023 Issued in PA

Practice address

1265 Wayne Ave Ste 103
Indiana, PA 15701-3501

Phone

(724) 463-1048

NPI assigned

Jan 16, 2017

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indiana Diabetes and EndocrinologyGroup PAC ID 1254660202, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Indiana Regional Medical Center Hospital, Indiana, PA, CCN 390173
• Punxsutawney Area Hospital Hospital, Punxsutawney, PA, CCN 390199
• Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110
• Conemaugh Miners Medical Center Hospital, Hastings, PA, CCN 391317
• Allegheny Valley Hospital Hospital, Natrona, PA, CCN 390032

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Indiana Diabetes & Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Indiana, PA
  • NPI 1811558414
  Medicare reassignment Care Compare group NPD
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

• Alle-Kiski Medical Center

  • General Acute Care Hospital
  • Natrona Heights, PA
  • NPI 1689679581
  Care Compare affiliation
• DLP Conemaugh Memorial Medical Center LLC

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  Care Compare affiliation
• DLP Conemaugh Miners Medical Center LLC

  • Critical Access Hospital
  • Hastings, PA
  • NPI 1184620486
  Care Compare affiliation
• Indiana Regional Medical Center

  • Internal Medicine Physician
  • Blairsville, PA
  • NPI 1104055946

  Hospital

  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1356334510
  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1508047630
  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1659315372
  Care Compare affiliation
• Punxsutawney Area Hospital Inc

  • General Acute Care Hospital
  • Punxsutawney, PA
  • NPI 1265449870
  Care Compare affiliation

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1376089334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE STE 103",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-463-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBALEK",
        "first_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon K Krieg
• Brenda L Kromer, RPH
• Corbin Eliot Krug, LCSW
• Leslie Ann Krummert, MA
• Bethany Krystek
• Haley Lynne Kuhner
• Kara Kunselman
• Richard Kutz Jr., PSY.D.
• Austin Tyler Kwisnek, B.A.
• L'Therapy Group LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.