Individual provider Active NPI

Heather Penzera-Ulicne, CRNP

  • Family Nurse Practitioner
  • North Huntingdon, PA
National Provider Identifier
1740495142
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP006441B Issued in PA
Practice address
8775 Norwin Ave
Suite 108
North Huntingdon, PA 15642-2718
Phone
(724) 765-1225
Fax
(724) 765-1227
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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 SP006441B PA Primary

Addresses

Primary practice location

8775 Norwin Ave
Suite 108
North Huntingdon, PA 15642-2718

Mailing address

520 Jefferson Ave
Suite 400
Jeannette, PA 15644-2538
Phone (724) 527-8060

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
I20160309000929 PA Practitioner - Nurse Practitioner 3870691942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

599 N Church St
Suite 100
Mt Pleasant, PA 15666-1004
Phone 7246268420103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connellsville Counseling & Psychological Services, LLC CurrentSince Jul 1, 2021 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Feb 17, 2016 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Feb 17, 2016 Accepting new patients

Locations

416 S Pittsburgh St
Connellsville, PA 15425
Phone (724) 626-8420

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

8775 Norwin Ave
North Huntingdon, PA 15642
Phone (724) 527-8031

8775 Norwin Ave
Ste 108
North Huntingdon, PA 15642
Phone (412) 351-1858

Organizations & group practices 4

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1740495142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JEFFERSON AVE",
            "address_2": "SUITE 400",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442538",
            "telephone_number": "724-527-8060",
            "fax_number": "724-522-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 NORWIN AVE",
            "address_2": "SUITE 108",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156422718",
            "telephone_number": "724-765-1225",
            "fax_number": "724-765-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENZERA-ULICNE",
        "first_name": "HEATHER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP006441B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.