Individual provider Active NPI

Katina Marie Fetsko, CRNP

  • Acute Care Nurse Practitioner
  • Washington, PA
National Provider Identifier
1649622135
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP016214 Issued in PA
Practice address
470 Johnson Rd Ste 210
Washington, PA 15301-8944
Phone
(412) 206-6770
Fax
(724) 220-6990
NPI assigned
Jul 7, 2016
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP016214 PA Primary

Addresses

Primary practice location

470 Johnson Rd Ste 210
Washington, PA 15301-8944

Mailing address

47 Jane St
Uniontown, PA 15401-4568
Phone (412) 691-0974

Other practice location 1

20826 Route 19
Cranberry Twp, PA 16066-6028
Phone (866) 216-7982

Other practice location 2

9576 Perry Hwy Ste 103
Pittsburgh, PA 15237-5537
Phone (724) 812-5580

Other practice location 3

236 Elm Dr Ste 105
Waynesburg, PA 15370-8265
Phone (724) 812-5580

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
I20180514001565 PA Practitioner - Nurse Practitioner 2668736919 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP016214PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerville Clinics Inc CurrentSince Dec 28, 2020 Accepting new patients
Pain and Spine Specialists of Maryland, LLC CurrentSince Apr 16, 2018 Accepting new patients
Three Rivers Pain Management Associates PLLC CurrentSince Aug 1, 2023 Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Three Rivers Pain Management Associates PLLC CurrentSince Aug 1, 2023 Accepting new patients
Centerville Clinics, Inc CurrentSince Dec 28, 2020 Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

2614 Memorial Blvd
Ste A
Connellsville, PA 15425
Phone (724) 638-4537

20826 Route 19
Cranberry Twp, PA 16066
Phone (724) 776-4776

1070 Old National Pike
Fredericktown, PA 15333

736 W Ingomar Rd
Unit 116
Ingomar, PA 15127

9576 Perry Hwy
Ste 103
Pittsburgh, PA 15237
Phone (412) 367-3733

205 Easy St
Ste 204
Uniontown, PA 15401
Phone (724) 430-6200

236 Elm Dr
Ste 105
Waynesburg, PA 15370
Phone (724) 627-0947

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11878/brand/3/csg/1/fhir/r4

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1649622135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 JANE ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014568",
            "telephone_number": "412-691-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 JOHNSON RD STE 210",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153018944",
            "telephone_number": "412-206-6770",
            "fax_number": "724-220-6990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20826 Route 19",
            "address_purpose": "LOCATION",
            "city": "Cranberry Twp",
            "state": "PA",
            "postal_code": "160666028",
            "country_code": "US",
            "telephone_number": "866-216-7982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9576 Perry Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152375537",
            "country_code": "US",
            "telephone_number": "724-812-5580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "236 Elm Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Waynesburg",
            "state": "PA",
            "postal_code": "153708265",
            "country_code": "US",
            "telephone_number": "724-812-5580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FETSKO",
        "first_name": "KATINA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP016214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.