NPIMap

Individual provider Active NPI

Bridget Conklin, CRNP

  • Adult Health Nurse Practitioner
  • Du Bois, PA
National Provider Identifier
1679589808
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP-008246 Issued in PA
Practice address
529 Sunflower Dr
Du Bois, PA 15801-2378
Phone
(814) 371-1510
Fax
(814) 371-2922
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP-008246 PA Primary

Addresses

Primary practice location

529 Sunflower Dr
Du Bois, PA 15801-2378

Mailing address

300 E Main St
Reynoldsville, PA 15851-1282
Phone (814) 371-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628001343 PA Practitioner - Nurse Practitioner 3375529589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Punxsutawney Area Hospital IncGroup PAC ID 3375517147, 33 clinicians

Practice addresses (Care Compare)

81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Phone (814) 938-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP-008246PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Punxsutawney Area Hospital Inc. CurrentSince Dec 14, 2013 Accepting new patients
Indiana Healthcare Physician Services, Inc CurrentSince Apr 1, 2020 Accepting new patients
Punxsutawney Area Hospital Inc CurrentSince Dec 14, 2013 Accepting new patients
Punxsutawney Area Hospital Inc Current Accepting new patients
Dubois Regional Medical Group PC Past Accepting new patients
Dubois Regional Medical Center Past Accepting new patients
DRMG Opthalmology Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Punxsutawney Area Hosp Em Med Fpa Past Accepting new patients

Locations

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

81 Hillcrest Dr
Ste 106
Punxsutawney, PA 15767
Phone (814) 938-2064

81 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-1800

81 Hillcrest Dr
Ste 2600
Punxsutawney, PA 15767
Phone (814) 938-4121

Organizations & group practices 10

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.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1679589808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST",
            "city": "REYNOLDSVILLE",
            "state": "PA",
            "postal_code": "158511282",
            "telephone_number": "814-371-1510",
            "fax_number": "814-371-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 SUNFLOWER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012378",
            "telephone_number": "814-371-1510",
            "fax_number": "814-371-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "BRIDGET",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP-008246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.