Individual provider Active NPI

Nichole S Cambruzzi, CRNP

  • Family Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1750521498
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP010058 Issued in PA
Practice address
2151 Linglestown Rd Ste 100
Harrisburg, PA 17110-9473
Phone
(717) 545-4786
Fax
(717) 545-6359
NPI assigned
Feb 20, 2009
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 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 SP010058 PA Primary

Addresses

Primary practice location

2151 Linglestown Rd Ste 100
Harrisburg, PA 17110-9473

Mailing address

2151 Linglestown Rd Ste 100
Harrisburg, PA 17110-9473

Other identifiers 1

IdentifierTypeStateIssuer
103302008MedicaidPA

Other names 1

  • Nichole S Scicchitano Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ncambruzzi6733@phsdirect.pinnaclehealth.org

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
I20090414000448 PA Practitioner - Nurse Practitioner 4981751781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

2151 Linglestown Rd
Suite 100
Harrisburg, PA 17110-9473
Phone (717) 545-4786

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Aug 3, 2013 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 3, 2013 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

207 House Ave
Ste 101
Camp Hill, PA 17011
Phone (717) 761-8331

2151 Linglestown Rd
Ste 100
Harrisburg, PA 17110
Phone (717) 545-4786

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2808 Old Post Rd
Ste 104
Harrisburg, PA 17110
Phone (717) 545-4786

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

1 Kacey Ct
Ste 101
Mechanicsburg, PA 17055
Phone (717) 591-0961

Interoperability endpoints

  • Direct secure messaging: ncambruzzi283366@upmc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1750521498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 LINGLESTOWN RD STE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 LINGLESTOWN RD STE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109473",
            "telephone_number": "717-545-4786",
            "fax_number": "717-545-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBRUZZI",
        "first_name": "NICHOLE",
        "middle_name": "S",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103302008",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ncambruzzi6733@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2151 Linglestown Rd Ste 100",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171109473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "SCICCHITANO",
            "middle_name": "S",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.