NPIMap

Individual provider Active NPI

Katrina Renee Spangler

  • Family Nurse Practitioner
  • Connellsville, PA
National Provider Identifier
1396223525
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019065 Issued in PA
Practice address
854 Vanderbilt Rd Ste 1
Connellsville, PA 15425-6241
Phone
(724) 628-3944
Fax
(724) 603-3090
NPI assigned
Jul 31, 2018
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 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 SP019065 PA Primary

Addresses

Primary practice location

854 Vanderbilt Rd Ste 1
Connellsville, PA 15425-6241

Mailing address

854 Vanderbilt Rd Ste 1
Connellsville, PA 15425-6241
Phone (724) 628-3944

Other identifiers 1

IdentifierTypeStateIssuer
SP019065OtherPASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kellywebster@emg.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180925000409 PA Practitioner - Nurse Practitioner 7517218902 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians

Practice addresses (Care Compare)

451 Murtha Dr
Suite 100
Waynesburg, PA 15370-7007
Phone (304) 599-2273

500 W Berkely St Annex
Uniontown Specialty Care
Uniontown, PA 15401-5514
Phone (724) 430-5600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019065PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Jan 21, 2026 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 21, 2026 Accepting new patients
BHS Faster Care PLLC CurrentSince Jan 1, 2020 Accepting new patients
Fayette Physician Network Inc CurrentSince Jan 5, 2026 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Fayette Physician Network Inc Family CurrentSince Jan 5, 2026 Accepting new patients

Locations

250B Butler Cmns
Butler, PA 16001
Phone (877) 967-4368

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

147 Mulone Dr
Sarver, PA 16055
Phone (724) 295-0087

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

451 Murtha Dr
Ste 100
Waynesburg, PA 15370
Phone (304) 599-2273

Interoperability endpoints

  • Direct secure messaging: katrinaspangler@emg.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1396223525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 VANDERBILT RD STE 1",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154256241",
            "telephone_number": "724-628-3944",
            "fax_number": "724-603-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 VANDERBILT RD STE 1",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154256241",
            "telephone_number": "724-628-3944",
            "fax_number": "724-603-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGLER",
        "first_name": "KATRINA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SP019065",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kellywebster@emg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "EH FM Connellsville",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "854 Vanderbilt Rd Ste 1",
            "city": "Connellsville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "154256241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

Verify at the official NPI Registry.