Individual provider Active NPI

Courtney Ronan, CRNP

  • Family Nurse Practitioner
  • Windber, PA
National Provider Identifier
1609497031
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021846 Issued in PA
Practice address
401 12TH St
Windber, PA 15963-1726
Phone
(814) 467-0005
NPI assigned
Apr 27, 2020
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 SP021846 PA Primary

Addresses

Primary practice location

401 12TH St
Windber, PA 15963-1726

Mailing address

401 12TH St
Windber, PA 15963-1726
Phone (814) 467-0005

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
I20200512000205 PA Practitioner - Nurse Practitioner 9931530730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Priority Family Practice IncGroup PAC ID 1355798406, 2 clinicians

Practice addresses (Care Compare)

401 12TH St
Windber, PA 15963-1726
Phone (814) 467-0005

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP021846PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Family Practice, Inc CurrentSince Sep 1, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

401 12th St
Windber, PA 15963
Phone (814) 467-0005

Interoperability endpoints

  • Direct secure messaging: cronan@priorityfamilypractice.medentdirect.com

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 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": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1609497031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 12TH ST",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631726",
            "telephone_number": "814-467-0005",
            "fax_number": "814-509-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 12TH ST",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631726",
            "telephone_number": "814-467-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONAN",
        "first_name": "COURTNEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windber, PA

Sources for this page

Verify at the official NPI Registry.