Individual provider Active NPI

Bonnie Ann Wasson, CRNP

  • Family Nurse Practitioner
  • Georgetown, PA
National Provider Identifier
1730287798
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP007843 Issued in PA
Practice address
2905 US Route 30
Georgetown, PA 15043-1133
Phone
(724) 573-5509
NPI assigned
Sep 20, 2006
Last updated
May 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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 SP007843 PA Primary
Registered Nurse 163W00000X RN311572L PA

Addresses

Primary practice location

2905 US Route 30
Georgetown, PA 15043-1133

Mailing address

2905 US Route 30
Georgetown, PA 15043-1133
Phone (724) 573-5509

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
I20080407000709 PA Practitioner - Nurse Practitioner 5597842112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

2000 Oxford Dr
Suite 302
Bethel Park, PA 15102-1841
Phone (412) 942-2151

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN311572LPAMDRegistered Nurse
SP007843PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Endocrinology PC CurrentSince Jun 1, 2023 Accepting new patients
St. Clair Medical Services Inc. CurrentSince Jan 1, 2025 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
St Clair Medical Services Inc CurrentSince Jan 1, 2025 Accepting new patients
St Clair Medical Services Inc Past Accepting new patients

Locations

2000 Oxford Dr
Ste 200
Bethel Park, PA 15102
Phone (412) 942-2140

2000 Oxford Dr
Ste 302
Bethel Park, PA 15102
Phone (412) 854-5491

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Organizations & group practices 5

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.

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1730287798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 US ROUTE 30",
            "city": "GEORGETOWN",
            "state": "PA",
            "postal_code": "150431133",
            "telephone_number": "724-573-5509",
            "fax_number": "724-775-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 US ROUTE 30",
            "city": "GEORGETOWN",
            "state": "PA",
            "postal_code": "150431133",
            "telephone_number": "724-573-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSON",
        "first_name": "BONNIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007843",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN311572L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, PA

Sources for this page

Verify at the official NPI Registry.