NPIMap

Individual provider Active NPI

Jaclyn N Springer, CRNP

  • Family Nurse Practitioner
  • Johnstown, PA
National Provider Identifier
1720748825
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024530 Issued in PA
Practice address
1511 Scalp Ave
Johnstown, PA 15904-3348
Phone
(814) 254-4207
Fax
(814) 254-4733
NPI assigned
Dec 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP024530 PA Primary

Addresses

Primary practice location

1511 Scalp Ave
Johnstown, PA 15904-3348

Mailing address

221 E Horner St
Ebensburg, PA 15931-1422
Phone (814) 421-3562

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
I20220503001302 PA Practitioner - Nurse Practitioner 5294122610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windber Hospital IncGroup PAC ID 9234187576, 37 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

1511 Scalp Ave
Johnstown, PA 15904-3348
Phone (814) 254-4207

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

Hospital & facility affiliations

  • Conemaugh Home Health Home health agency, Johnstown, PA, CCN 397406
  • Windber Home Health Agency Home health agency, Windber, PA, CCN 397442
  • Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112
  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Center Family CurrentSince Jun 4, 2025 Accepting new patients
Windber Hospital, Inc. CurrentSince Jan 18, 2022 Accepting new patients
Windber Hospital, Inc CurrentSince Jan 18, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

124 Donald Ln
Johnstown, PA 15904
Phone (814) 915-4539

1511 Scalp Ave
Johnstown, PA 15904
Phone (814) 254-4207

600 Somerset Ave
Windber, PA 15963
Phone (814) 467-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1720748825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E HORNER ST",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311422",
            "telephone_number": "814-421-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 SCALP AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043348",
            "telephone_number": "814-254-4207",
            "fax_number": "814-254-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "JACLYN",
        "middle_name": "N",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.