Individual provider Active NPI

Grace Warwick

  • Family Nurse Practitioner
  • Connellsville, PA
National Provider Identifier
1730833724
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025296 Issued in PA
Practice address
505 N Pittsburgh Street
Connellsville, PA 15425-3220
Phone
(724) 603-6200
Fax
(724) 626-4480
NPI assigned
Feb 8, 2022
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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 SP025296 PA Primary

Addresses

Primary practice location

505 N Pittsburgh Street
Connellsville, PA 15425-3220

Mailing address

599 N Church Street
Suite 200
Mount Pleasant, PA 15666-1004
Phone (724) 542-5349

Other identifiers 1

IdentifierTypeStateIssuer
104032417MedicaidPA

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
I20220923001624 PA Practitioner - Nurse Practitioner 4981089125 Reassigns benefits to 1 organization

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
Esposito Medical Associates LTDGroup PAC ID 8426324542, 4 clinicians

Practice addresses (Care Compare)

599 N Church St
Suite 200
Mount Pleasant, PA 15666-1004
Phone (724) 542-5349

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dicesare Orthopedic Medicine LLC PastSince Jun 15, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: grace.a.warwick@upmcdirect.com
  • Direct secure messaging: gracewarwick@emg.allscriptsdirect.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, 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": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1730833724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 N CHURCH STREET",
            "address_2": "SUITE 200",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156661004",
            "telephone_number": "724-542-5349",
            "fax_number": "724-542-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N PITTSBURGH STREET",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253220",
            "telephone_number": "724-603-6200",
            "fax_number": "724-626-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARWICK",
        "first_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104032417",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

Verify at the official NPI Registry.