Individual provider Active NPI

Rebecca Jean Barczak

  • Family Nurse Practitioner
  • Hastings, PA
National Provider Identifier
1770055469
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019811 Issued in PA
Practice address
268 Coleman Street
Hastings, PA 16646-0500
Phone
(814) 247-6593
NPI assigned
Dec 19, 2018
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 SP019811 PA Primary

Addresses

Primary practice location

268 Coleman Street
Hastings, PA 16646-0500

Mailing address

101 Susquehanna St
Northern Cambria, PA 15714-1243
Phone (814) 421-6577

Other practice location 1

101 Susquehanna St
Northern Cambria, PA 15714-1243
Phone (814) 421-6577

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
I20190215000576 PA Practitioner - Nurse Practitioner 3678811775 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP019811PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Center Family Medicine CurrentSince Nov 12, 2024 Accepting new patients
Laurel Eye Clinic PastSince Nov 12, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

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

1415 Eisenhower Blvd
#B
Johnstown, PA 15904
Phone (814) 266-1616

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rebecca.barczak.1@29999.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1770055469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUSQUEHANNA ST",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157141243",
            "telephone_number": "814-421-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 COLEMAN STREET",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166460500",
            "telephone_number": "814-247-6593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Susquehanna St",
            "address_purpose": "LOCATION",
            "city": "Northern Cambria",
            "state": "PA",
            "postal_code": "157141243",
            "country_code": "US",
            "telephone_number": "814-421-6577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARCZAK",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, PA

Sources for this page

Verify at the official NPI Registry.