Individual provider Active NPI

Kenneth R Lods, FNP

  • Family Nurse Practitioner
  • Johnstown, PA
National Provider Identifier
1780219980
Registry record updated Mar 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019084433 Issued in PA
Practice address
411 Tunnel Ave
Johnstown, PA 15905-3726
Phone
(814) 243-9951
NPI assigned
Mar 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2020

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 2019084433 PA Primary

Addresses

Primary practice location

411 Tunnel Ave
Johnstown, PA 15905-3726

Mailing address

411 Tunnel Ave
Johnstown, PA 15905-3726
Phone (814) 243-9951

Other identifiers 1

IdentifierTypeStateIssuer
2019084433OtherPAANCC

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
I20200618002557 PA Practitioner - Nurse Practitioner 2668894791 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Qofl Services LLCGroup PAC ID 6709030133, 21 clinicians

Practice addresses (Care Compare)

429 Manor Dr
Ebensburg, PA 15931-4917
Phone (814) 472-8100

Hospital & facility affiliations

  • Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019084433PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Old Mission Wound Care Pennsylvania PLLC CurrentSince Aug 25, 2025 Accepting new patients
Qofl Services LLC CurrentSince Jun 16, 2020 Accepting new patients
Onsight Health Care LLC Current Accepting new patients
Provider Partners Care Management LP CurrentSince Dec 22, 2025 Accepting new patients
Onsight Health Care LLC Family CurrentSince Mar 1, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

429 Manor Dr
Ebensburg, PA 15931
Phone (814) 472-6060

2595 Interstate Dr
Ste 103
Harrisburg, PA 17110
Phone (386) 672-4222

349 Vo Tech Dr
Johnstown, PA 15904
Phone (814) 266-9702

429 S Market St
Martinsburg, PA 16662
Phone (814) 793-1430

6212 Walnut St
Philadelphia, PA 19139
Phone (215) 476-6264

322 N Shore Dr
Ste 200
Pittsburgh, PA 15212
Phone (281) 857-3677

303 Smallacombe Dr
Scranton, PA 18508
Phone (412) 508-8708

225 Matlage Way
Unit 31
Sugar Land, TX 77487

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583625600000",
    "number": "1780219980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 TUNNEL AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159053726",
            "telephone_number": "814-243-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 TUNNEL AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159053726",
            "telephone_number": "814-243-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODS",
        "first_name": "KENNETH",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-08",
        "last_updated": "2020-03-08",
        "certification_date": "2020-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "2019084433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2019084433",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.