Individual provider Active NPI

Laura A Dziagwa

  • Family Nurse Practitioner
  • Indiana, PA
National Provider Identifier
1437602968
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016377 Issued in PA
Practice address
879 Hospital Rd
Indiana, PA 15701-3629
Phone
(724) 357-8198
Fax
(724) 357-8202
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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 SP016377 PA Primary

Addresses

Primary practice location

879 Hospital Rd
Indiana, PA 15701-3629

Mailing address

640 Kolter Dr
Indiana, PA 15701-3570
Phone (724) 357-7196

Other practice location 1

600 Somerset Ave
Windber, PA 15963-1331
Phone (814) 467-3176

Other names 1

  • Laura Shilling Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laura.dziagwa@irmc.cernerdirect.com Direct

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
I20161201001253 PA Practitioner - Nurse Practitioner 4486949518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

841 Hospital Rd
Suite 2500
Indiana, PA 15701-3699
Phone (724) 427-2797

Hospital & facility affiliations

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
Indiana Healthcare Physician Services, Inc Family CurrentSince Jun 10, 2019 Accepting new patients
Indiana Healthcare Physician Services Inc CurrentSince Jun 10, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

25 Colony Blvd
Ste 110
Blairsville, PA 15717
Phone (724) 459-1790

841 Hospital Rd
Ste 2500
Indiana, PA 15701
Phone (724) 349-4360

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

3840 William Penn Ave
Ste 10
Nanty Glo, PA 15943
Phone (814) 749-6385

4210 Crawford Ave
Northern Cambria, PA 15714
Phone (724) 465-2676

Interoperability endpoints

  • Direct secure messaging: laura.dziagwa@irmc.cernerdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1437602968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570",
            "telephone_number": "724-357-7196",
            "fax_number": "724-357-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 HOSPITAL RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013629",
            "telephone_number": "724-357-8198",
            "fax_number": "724-357-8202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Somerset Ave",
            "address_purpose": "LOCATION",
            "city": "Windber",
            "state": "PA",
            "postal_code": "159631331",
            "country_code": "US",
            "telephone_number": "814-467-3176",
            "fax_number": "814-467-3177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DZIAGWA",
        "first_name": "LAURA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura.dziagwa@irmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Millennium Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Secure Messaging",
            "address_1": "879 Hospital Rd",
            "city": "Indiana",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157013629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SHILLING",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.