Mary W Moreland, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP009802 Issued in PA

Practice address

1910 Sassafras St
Suite 100
Erie, PA 16502-2716

Phone

(814) 452-5555

Fax

(814) 452-7610

NPI assigned

May 20, 2009

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Safe Harbor Behavioral Health of Upmc HamotGroup PAC ID 6305743154, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Safe Harbor Behavioral Health of Upmc Hamot

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Erie, PA
  • NPI 1083695985
  Medicare reassignment Care Compare group NPD
• Safe Harbor Behavioral Health of Upmc Hamot

  • Community/Behavioral Health Agency
  • Erie, PA
  • NPI 1518168368
  NPD
• Northwest Beacon Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Erie, PA
  • NPI 1689695868
  NPD (past)
• Saint Vincent Medical Education and Research Institute

  • Family Medicine Physician
  • Albion, PA
  • NPI 1558462259
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1396970380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 PEACH ST",
            "address_2": "SUITE LL1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082768",
            "telephone_number": "814-860-5036",
            "fax_number": "814-860-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SASSAFRAS ST",
            "address_2": "SUITE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022716",
            "telephone_number": "814-452-5555",
            "fax_number": "814-452-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "MARY",
        "middle_name": "W",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan J Moore, MD
• Angel Mora
• Moral Home Care LLC
• Rafael Angel Morales, MD
• Jamie L Moraski, RD,LDN
• Jane Morell, LPC
• Jennifer Susan Morell, PHARMD.
• Ashley N Morganti, CRNP
• Heidi L Morgenstern
• William D Morosky, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.