Individual provider Active NPI

Nicole Marie Baney, CRNP

  • Nurse Practitioner
  • Altoona, PA
National Provider Identifier
1457097016
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP024461 Issued in PA
Practice address
100 Chestnut Ave
Altoona, PA 16601-4926
Phone
(814) 201-5266
Fax
(272) 200-0242
NPI assigned
May 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP024461 PA Primary

Addresses

Primary practice location

100 Chestnut Ave
Altoona, PA 16601-4926

Mailing address

1905 4TH Ave
Altoona, PA 16602-2341
Phone (814) 414-6240

Other practice location 1

18 N Front St
Philipsburg, PA 16866-1602
Phone (814) 342-2333

Other identifiers 1

IdentifierTypeStateIssuer
004984455OtherPAHIGHMARK BCBS

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
I20220909003129 PA Practitioner - Nurse Practitioner 4688059728 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Healthcare NetworkGroup PAC ID 6002095254, 15 clinicians

Practice addresses (Care Compare)

18 N Front St
Philipsburg, PA 16866-1602
Phone (814) 342-2333

Hospital & facility affiliations

  • Upmc Altoona Hospital, Altoona, PA, CCN 390073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024461PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Healthcare Network CurrentSince Mar 1, 2023 Accepting new patients
Wound Healing Solutions Pennsylvania and Delaware LLC Nurse Practitioner CurrentSince Jul 1, 2022 Accepting new patients
Matrix Medical Plus Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Feb 1, 2025 Accepting new patients
Caring Healthcare Network CurrentSince Mar 1, 2023 Accepting new patients
Caring Healthcare Network Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

600 Clements Bridge Rd
Barrington, NJ 08007
Phone (609) 268-5517

100 Chestnut Ave
Altoona, PA 16601
Phone (814) 201-5266

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

125 S Broad St
Lititz, PA 17543
Phone (717) 626-0211

395 Middle Rd
Nanticoke, PA 18634
Phone (570) 735-2973

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

18 N Front St
Philipsburg, PA 16866
Phone (814) 201-5266

2630 Woodland Rd
Roslyn, PA 19001
Phone (215) 313-9358

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

15 Freedom Blvd
West Brandywine, PA 19320
Phone (610) 383-5100

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

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": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1457097016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 4TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022341",
            "telephone_number": "814-414-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014926",
            "telephone_number": "814-201-5266",
            "fax_number": "272-200-0242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 N Front St",
            "address_purpose": "LOCATION",
            "city": "Philipsburg",
            "state": "PA",
            "postal_code": "168661602",
            "country_code": "US",
            "telephone_number": "814-342-2333",
            "fax_number": "814-342-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANEY",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP024461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "004984455",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.