Individual provider Active NPI

Joan M. Humphrey, CRNP

  • Family Nurse Practitioner
  • Sharon, PA
National Provider Identifier
1396287553
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016554 Issued in PA
Practice address
63 Pitt St
Sharon, PA 16146-2102
Phone
(724) 342-6604
Fax
(724) 342-1601
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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 SP016554 PA Primary

Addresses

Primary practice location

63 Pitt St
Sharon, PA 16146-2102

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (724) 981-2246

Other identifiers 1

IdentifierTypeStateIssuer
1032320300005MedicaidPA

Other names 1

  • Joan M. Ricciardi Former name

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
I20170123000787 PA Practitioner - Nurse Practitioner 7911289236 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016554PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Nov 21, 2016 Accepting new patients
Primary Health Network CurrentSince Nov 21, 2016 Accepting new patients
Primary Health Network Past Accepting new patients
Primary Health Network Past Accepting new patients

Locations

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

650 East Ave
Erie, PA 16503
Phone (814) 455-5505

2000 Green St
Bldg B
Farrell, PA 16121
Phone (724) 342-6900

602 Roemer Blvd
Farrell, PA 16121
Phone (724) 981-2246

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

348 Main St
Greenville, PA 16125
Phone (724) 588-5250

220 N Buhl Farm Dr
Hermitage, PA 16148
Phone (724) 342-2733

737 Greenville Rd
Mercer, PA 16137
Phone (724) 662-1414

1112 S Mill St
New Castle, PA 16101
Phone (724) 656-5000

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

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

225 Edgewood Drive Ext
Transfer, PA 16154
Phone (724) 962-3553

Interoperability endpoints

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

Organizations & group practices 4

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 4

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Network 64 clinicians

Practice addresses (Care Compare)

220 N Buhl Farm Dr
Hermitage, PA 16148-1786
Phone (724) 342-2789

Hospital & facility affiliations

  • Sharon Regional Medical Center Hospital, Sharon, PA, CCN 390211
  • Upmc Horizon Hospital, Greenville, PA, CCN 390178

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1396287553",
    "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": "724-981-2246",
            "fax_number": "724-981-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PITT ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462102",
            "telephone_number": "724-342-6604",
            "fax_number": "724-342-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "JOAN",
        "middle_name": "M.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032320300005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "RICCIARDI",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sharon, PA

Sources for this page

Verify at the official NPI Registry.