Carolyn D Brumbaugh, RN, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP011992 Issued in PA

Practice address

8344 Woodbury Pike Unit 101
Roaring Spring, PA 16673-8107

Phone

(814) 205-4025

Fax

(814) 240-6632

NPI assigned

Mar 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upmc Behavioral Health of the Alleghenies 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

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.

• Upmc Behavioral Health of the Alleghenies

  • Community/Behavioral Health Agency
  • Altoona, PA
  • NPI 1063587103

  PA

  Medicare reassignment Care Compare group NPD
• Innovative Support Services LLC

  • Clinical Social Worker
  • Roaring Spring, PA
  • NPI 1639797657

  Psychiatric/Mental Health

  NPD
• Upmc Behavioral Health of the Alleghenies

  • Community/Behavioral Health Agency
  • Altoona, PA
  • NPI 1922173186
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1477677367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 PINEY CREEK RD",
            "city": "WILLIAMSBURG",
            "state": "PA",
            "postal_code": "166938308",
            "telephone_number": "814-312-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8344 WOODBURY PIKE UNIT 101",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166738107",
            "telephone_number": "814-205-4025",
            "fax_number": "814-240-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMBAUGH",
        "first_name": "CAROLYN",
        "middle_name": "D",
        "credential": "RN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN5229646",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP011992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102697854 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn Beach, A.T.C
• Howard Matthew Black, MD
• Blair Medical Associates
• Blair Orthopedic Associates, Inc
• Candice B Brannan
• Taylor Buchanan, PT
• Brian Kent Burket, LPC
• Kelly Lee Bushore, PHYSICAL THERAPIST
• Central Pennsylvania Imaging, PC
• Shawn A Claycomb, D.C.

• All providers in Roaring Spring, PA
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.