Active NPI
Nicole Marie Stevens, CRNP
- Family Nurse Practitioner
- Franklin, PA
National Provider Identifier
1629666086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP022905
- Practice address
- 150 Prospect Ave
Franklin, PA 16323-2542 - Phone
- (814) 437-1312
- NPI assigned
- Jan 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP022905 | PA | Primary |
Addresses
Primary practice location
150 Prospect Ave
Franklin, PA 16323-2542
Mailing address
150 Prospect Ave
Franklin, PA 16323-2542
Phone (814) 437-1312
Other practice location 1
406 W Oak St
Titusville, PA 16354-1499
Phone (814) 827-9770
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Titusville Area Hospital | Current | Accepting new patients | |
| Titusville Area Hospital | Current | Accepting new patients |
Locations
406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851
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.
-
- Rural Health Clinic/Center
- Titusville, PA
- NPI 1316471212
-
- Audiologist
- Titusville, PA
- NPI 1306712104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1629666086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PROSPECT AVE",
"city": "FRANKLIN",
"state": "PA",
"postal_code": "163232542",
"telephone_number": "814-437-1312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 PROSPECT AVE",
"city": "FRANKLIN",
"state": "PA",
"postal_code": "163232542",
"telephone_number": "814-437-1312"
}
],
"practiceLocations": [
{
"address_1": "406 W Oak St",
"address_purpose": "LOCATION",
"city": "Titusville",
"state": "PA",
"postal_code": "163541499",
"country_code": "US",
"telephone_number": "814-827-9770",
"fax_number": "814-827-3556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-01",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP022905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.