Individual provider Active NPI

Nadine Markovich-Sten, PA-C

  • Physician Assistant
  • Shamokin, PA
National Provider Identifier
1528081791
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA0010701 Issued in PA
Practice address
550 W Walnut St
Shamokin, PA 17872-5226
Phone
(570) 644-2222
Fax
(570) 648-4705
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA0010701 PA Primary

Addresses

Primary practice location

550 W Walnut St
Shamokin, PA 17872-5226

Mailing address

PO Box 175
Northumberland, PA 17857-0175
Phone (570) 988-0925

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
I20140408001933 PA Order and Referring Only - Physician Assistant 2769526862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA0010701PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care RHC Current Accepting new patients
Community Health Care Rural Health Clinic, LLC CurrentSince Jan 1, 2016 Accepting new patients

Locations

550 W Walnut St
Shamokin, PA 17872
Phone (570) 644-2222

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Health Care Rural Health Clinic LLCShamokin, PA, CCN 393855 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Operational/Managerial Control (100%)
Apr 11, 2008
Apr 11, 2008
Jun 1, 2018
Jun 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1528081791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "178570175",
            "telephone_number": "570-988-0925",
            "fax_number": "570-988-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W WALNUT ST",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "178725226",
            "telephone_number": "570-644-2222",
            "fax_number": "570-648-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOVICH-STEN",
        "first_name": "NADINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA0010701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shamokin, PA

Sources for this page

Verify at the official NPI Registry.