Individual provider Active NPI

Jillian Eileen Gresko, CRNP

  • Family Nurse Practitioner
  • Altoona, PA
National Provider Identifier
1386437879
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP032963 Issued in PA
Practice address
100 Chestnut Ave
Altoona, PA 16601-4926
Phone
(814) 201-5266
NPI assigned
May 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP032963 PA Primary

Addresses

Primary practice location

100 Chestnut Ave
Altoona, PA 16601-4926

Mailing address

503 E Southey Ave
Altoona, PA 16602-4213
Phone (814) 839-4786

Other practice location 1

18 N Front St
Philipsburg, PA 16866-1999
Phone (814) 342-2333

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
I20250616002764 PA Practitioner - Nurse Practitioner 5991216087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Healthcare NetworkGroup PAC ID 6002095254, 15 clinicians

Practice addresses (Care Compare)

18 N Front St
Philipsburg, PA 16866-1602
Phone (814) 342-2333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP032963PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Healthcare Network CurrentSince Jun 15, 2025 Accepting new patients
Caring Healthcare Network CurrentSince Jun 15, 2025 Accepting new patients

Locations

100 Chestnut Ave
Altoona, PA 16601
Phone (814) 201-5266

18 N Front St
Philipsburg, PA 16866
Phone (814) 201-5266

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1386437879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E SOUTHEY AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024213",
            "telephone_number": "814-839-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014926",
            "telephone_number": "814-201-5266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 N Front St",
            "address_purpose": "LOCATION",
            "city": "Philipsburg",
            "state": "PA",
            "postal_code": "168661999",
            "country_code": "US",
            "telephone_number": "814-342-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRESKO",
        "first_name": "JILLIAN",
        "middle_name": "EILEEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP032963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.