Active NPI
Beverly Schmidt Rodriguez, CRNP
- Family Nurse Practitioner
- Ellwood City, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP028172
- Practice address
- 304 Evans Dr Ste 401
Ellwood City, PA 16117-1478 - Phone
- (724) 824-8185
- Fax
- (724) 824-8191
- NPI assigned
- Aug 21, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP028172 | PA | Primary |
| Registered Nurse | 163W00000X | RN577415 | PA |
Addresses
Primary practice location
304 Evans Dr Ste 401
Ellwood City, PA 16117-1478
Mailing address
100 Shenango Ave
Sharon, PA 16146-1503
Phone (724) 824-8185
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN577415 | PA | MD | Registered Nurse |
| SP028172 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Health Network | Current | Accepting new patients | |
| Primary Health Network | Current | Accepting new patients |
Locations
99 Autumn St
Aliquippa, PA 15001
Phone (724) 375-5754
304 Evans Dr
Ste 201
Ellwood City, PA 16117
Phone (724) 752-6974
304 Evans Dr
Ste 401
Ellwood City, PA 16117
Phone (724) 752-6856
2000 Green St
Farrell, PA 16121
Phone (724) 342-6600
63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604
100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886
Interoperability endpoints
- beverlyschmidtrodriguez@primaryhn.medalliesdirect.net
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.
-
- Federally Qualified Health Center (FQHC)
- Sharon, PA
- NPI 1417932609
-
- Federally Qualified Health Center (FQHC)
- Emlenton, PA
- NPI 1750181038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1699559989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SHENANGO AVE",
"city": "SHARON",
"state": "PA",
"postal_code": "161461503",
"telephone_number": "724-824-8185",
"fax_number": "724-824-8191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 EVANS DR STE 401",
"city": "ELLWOOD CITY",
"state": "PA",
"postal_code": "161171478",
"telephone_number": "724-824-8185",
"fax_number": "724-824-8191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT RODRIGUEZ",
"first_name": "BEVERLY",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-21",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP028172",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN577415",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellwood City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.