Individual provider Active NPI

Josie Marie Barnicle

  • Family Nurse Practitioner
  • Ebensburg, PA
National Provider Identifier
1700622990
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP031151 Issued in PA
Practice address
167 Zeman Dr
Ebensburg, PA 15931-4103
Phone
(814) 472-9119
NPI assigned
Jul 8, 2024
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 RN731291 PA
Family Nurse Practitioner 363LF0000X SP031151 PA Primary

Addresses

Primary practice location

167 Zeman Dr
Ebensburg, PA 15931-4103

Mailing address

119 3Rd Ave
Homer City, PA 15748-6914
Phone (724) 599-5815

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
I20250922001940 PA Order and Referring Only - Nurse Practitioner 2769918689

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN731291PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Medical CurrentSince Nov 3, 2024 Accepting new patients

Locations

167 Zeman Dr
Ebensburg, PA 15931
Phone (814) 472-9119

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, 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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1700622990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 3RD AVE",
            "city": "HOMER CITY",
            "state": "PA",
            "postal_code": "157486914",
            "telephone_number": "724-599-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 ZEMAN DR",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314103",
            "telephone_number": "814-472-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNICLE",
        "first_name": "JOSIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN731291",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

Verify at the official NPI Registry.