Individual provider Active NPI

Dawn M Wincek, CRNP

  • Family Nurse Practitioner
  • State College, PA
National Provider Identifier
1699023358
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012639 Issued in PA
Practice address
2134 Sandy Dr Ste 16
State College, PA 16803-2292
Phone
(814) 272-5805
Fax
(814) 272-0110
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN326105L PA
Family Nurse Practitioner 363LF0000X SP012639 PA Primary

Addresses

Primary practice location

2134 Sandy Dr Ste 16
State College, PA 16803-2292

Mailing address

2134 Sandy Dr Ste 16
State College, PA 16803-2292
Phone (814) 272-5805

Other identifiers 1

IdentifierTypeStateIssuer
262544ZA9KOtherPAMEDICARE PTAN

Other names 1

  • Dawn Steffey Wincek Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DSW111PCS@M1526.primeclinicalsystems.direct-ci.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN326105LPAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Centre Geriatric Care, LLC CurrentSince Oct 31, 2021 Accepting new patients

Locations

2134 Sandy Dr
Ste 16
State College, PA 16803

Interoperability endpoints

  • Direct secure messaging: dsw111pcs@m1526.primeclinicalsystems.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1699023358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 SANDY DR STE 16",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032292",
            "telephone_number": "814-272-5805",
            "fax_number": "814-272-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 SANDY DR STE 16",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032292",
            "telephone_number": "814-272-5805",
            "fax_number": "814-272-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINCEK",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN326105L",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "262544ZA9K",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DSW111PCS@M1526.primeclinicalsystems.direct-ci.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2134 Sandy Dr Ste 16",
            "city": "State College",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168032292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "WINCEK",
            "middle_name": "STEFFEY",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.