Individual provider Active NPI

Alison Wokulich, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Erie, PA
National Provider Identifier
1376200238
Registry record updated Nov 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP024939 Issued in PA
Practice address
3250 W Lake Rd
Erie, PA 16505-3691
Phone
(814) 790-4567
NPI assigned
Nov 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2021

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 SP024939 PA Primary

Addresses

Primary practice location

3250 W Lake Rd
Erie, PA 16505-3691

Mailing address

1538 Cronin Rd
Waterford, PA 16441-2908
Phone (814) 490-1181

Other identifiers 1

IdentifierTypeStateIssuer
SP024939OtherPASTATE LICENSURE

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
I20220121001652 PA Practitioner - Nurse Practitioner 4183016249 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Corry Memorial Hospital AssociationGroup PAC ID 3971581174, 30 clinicians
Millcreek Community HospitalGroup PAC ID 8426020173, shared by 24 NPIs, 67 clinicians

Practice addresses (Care Compare)

101 E High St
Union City, PA 16438-1101

220 E 3Rd St
Waterford, PA 16441-9753
Phone (814) 796-6791

2222 W Grandview Blvd
Erie, PA 16506-4508
Phone (814) 454-3174

4740 Peach St
Erie, PA 16509-2008
Phone (814) 454-3174

Hospital & facility affiliations

  • Lecom Medical Center and Behavioral Health Pav Hospital, Erie, PA, CCN 390198

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millcreek Community Hospital Psychiatric/Mental Health CurrentSince Mar 13, 2026 Accepting new patients
Millcreek Community Hospital Current Accepting new patients
Millcreek Community Hospital CurrentSince Oct 6, 2022 Accepting new patients
Millcreek Community Hospital Psychiatric/Mental Health CurrentSince Jun 13, 2025 Accepting new patients
Corry Memorial Hospital Association CurrentSince Dec 6, 2025 Accepting new patients
Millcreek Community Hospital CurrentSince Oct 6, 2022 Accepting new patients
Medical Associates of Erie CurrentSince Oct 6, 2022 Accepting new patients
Corry Memorial Hospital Association CurrentSince Dec 6, 2025 Accepting new patients
Medical Associates of Erie CurrentSince Oct 6, 2022 Accepting new patients

Locations

965 Shamrock Ln
Corry, PA 16407
Phone (814) 644-4641

2000 W Grandview Blvd
Erie, PA 16509
Phone (814) 868-1001

537 W 18th St
Erie, PA 16502
Phone (814) 454-3174

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

2222 W Grandview Blvd
Erie, PA 16506
Phone (814) 454-3174

4740 Peach St
Erie, PA 16509
Phone (814) 454-3174

2625 Parade St
Erie, PA 16504
Phone (814) 452-6383

1 Lecom Pl
Erie, PA 16505

101 E High St
Union City, PA 16438
Phone (814) 438-2088

220 E 3rd St
Waterford, PA 16441
Phone (814) 796-6791

Interoperability endpoints

  • Direct secure messaging: alison.wokulich.1@10044.direct.athenahealth.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/corrymh-73713d5f
  • Direct secure messaging: awokulich@maoeim-pa.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/10044/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1637798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637798400000",
    "number": "1376200238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 CRONIN RD",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164412908",
            "telephone_number": "814-490-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053691",
            "telephone_number": "814-790-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOKULICH",
        "first_name": "ALISON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-25",
        "last_updated": "2021-11-25",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP024939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "SP024939",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.