Thomas Joseph Vissari, CRNP
Individual provider Active NPI Family Nurse Practitioner · Du Bois, PA
NPI 1548066871 · NPPES record last updated Jul 18, 2025
Key facts
- NPI
- 1548066871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- SP031949 (PA)
- Practice address
- 100 Hospital Ave
Du Bois, PA 15801-1440 - Phone
- (814) 371-2200
- NPI assigned
- Feb 19, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 33
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dubois Regional Medical Center
Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
145 Hospital Ave
Suite 311
Du Bois, PA 15801-1465
Phone (814) 299-7432
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
Hospital & facility affiliations
- Penn Highlands Dubois
- Penn Highlands Brookville
- Penn Highlands Elk
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251121003039 | PA | Practitioner - Nurse Practitioner | 9537651005 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP031949 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubois Regional Medical Center | Current |
Accepting new patients | |
| Dubois Regional Medical Center | Current |
Accepting new patients | |
| Dubois Regional Medical Center | Past | Accepting new patients |
Locations
100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040
145 Hospital Ave
Ste 311
Dubois, PA 15801
Phone (814) 375-3750
761 Johnsonburg Rd
Ste 310
Saint Marys, PA 15857
Phone (814) 788-8577
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP031949 | PA | Yes |
Addresses
Primary practice location
100 Hospital Ave
Du Bois, PA 15801-1440
Mailing address
123 Reo St Apt a
Butler, PA 16001-4628
Phone (724) 996-2194
Other providers in Du Bois, PA
- Sonja Venter
- Nicole Lynn Verdill
- Marissa Verrico
- Amy Vezza
- Cheyenne Vissari
- Allison Vollmer
- Gregory Volpe
- Shannon D. Wadding
- Anne J Wagoner
- Wal-Mart Stores East LP
All providers in Du Bois, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.