Individual provider Active NPI

Matthew Todd Lesneski, CRNP

  • Family Nurse Practitioner
  • Johnstown, PA
National Provider Identifier
1447062948
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP031806 Issued in PA
Practice address
315 Locust St Ste 2
Johnstown, PA 15901-1651
Phone
(814) 534-6242
NPI assigned
Jan 22, 2025
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 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 SP031806 PA Primary

Addresses

Primary practice location

315 Locust St Ste 2
Johnstown, PA 15901-1651

Mailing address

320 Terlyn Dr
Johnstown, PA 15904-3622
Phone (814) 341-5460

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
I20251007000914 PA Practitioner - Nurse Practitioner 6901304567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alleghenies Independent Physicians PCGroup PAC ID 4082662978, 8 clinicians

Practice addresses (Care Compare)

336 Bloomfield St
Suite 201
Johnstown, PA 15904-3271
Phone (814) 535-7576

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johnstown Free Medical Clinic CurrentSince Jul 1, 2025 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

315 Locust St
Ste 2
Johnstown, PA 15901
Phone (814) 534-6242

225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000

Organizations & group practices 3

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 1

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": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1447062948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 TERLYN DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043622",
            "telephone_number": "814-341-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 LOCUST ST STE 2",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011651",
            "telephone_number": "814-534-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESNESKI",
        "first_name": "MATTHEW",
        "middle_name": "TODD",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.