Individual provider Active NPI

Debra R Shreve, CRNP

  • Family Nurse Practitioner
  • Corry, PA
National Provider Identifier
1427078807
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP007505 Issued in PA
Practice address
315 York St
Corry, PA 16407-1412
Phone
(814) 664-8686
Fax
(814) 664-9826
NPI assigned
Jul 20, 2006
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 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 SP007505 PA Primary

Addresses

Primary practice location

315 York St
Corry, PA 16407-1412

Mailing address

315 York St
Corry, PA 16407-1412
Phone (814) 664-8686

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dshreve150995@direct.ahn.org

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
I20100824000502 PA Practitioner - Nurse Practitioner 2163546409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc CurrentSince Jan 1, 2015 Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

315 York St
Corry, PA 16407
Phone (814) 664-8686

153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081

Interoperability endpoints

  • Direct secure messaging: dshreve150995@direct.ahn.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1427078807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 YORK ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071412",
            "telephone_number": "814-664-8686",
            "fax_number": "814-664-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 YORK ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071412",
            "telephone_number": "814-664-8686",
            "fax_number": "814-664-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREVE",
        "first_name": "DEBRA",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dshreve150995@direct.ahn.org",
            "affiliation": "N",
            "address_1": "315 York St",
            "city": "Corry",
            "state": "PA",
            "country_code": "US",
            "postal_code": "164071412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corry, PA

Sources for this page

Verify at the official NPI Registry.