Individual provider Active NPI

Beverly Schmidt Rodriguez, CRNP

  • Family Nurse Practitioner
  • Ellwood City, PA
National Provider Identifier
1699559989
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP028172 Issued in PA
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

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231009001329 PA Practitioner - Nurse Practitioner 3678928801 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN577415PAMDRegistered Nurse
SP028172PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Oct 6, 2023 Accepting new patients
Primary Health Network CurrentSince Oct 6, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.