Individual provider Active NPI

Deborah L Gosnell, CRNP

  • Family Nurse Practitioner
  • Sandy Lake, PA
National Provider Identifier
1790738573
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TP004408B Issued in PA
Practice address
3205 S Main St
Sandy Lake, PA 16145
Phone
(724) 376-7111
Fax
(724) 376-7165
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 TP004408B PA Primary

Addresses

Primary practice location

3205 S Main St
Sandy Lake, PA 16145

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (724) 376-7111

Other identifiers 1

IdentifierTypeStateIssuer
000000517675OtherOHANTHEM BCBS

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
I20050420000119 PA Practitioner - Nurse Practitioner 1355389461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health NetworkGroup PAC ID 9234046228, 64 clinicians

Practice addresses (Care Compare)

3339 Perry Hwy
Sheakleyville, PA 16151-0178
Phone (724) 253-3428

Hospital & facility affiliations

  • Upmc Horizon Hospital, Greenville, PA, CCN 390178
  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113
  • Grove City Medical Center Hospital, Grove City, PA, CCN 390266

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Dec 1, 2015 Accepting new patients
Primary Health Network CurrentSince Dec 1, 2015 Accepting new patients
Primary Health Network Past Accepting new patients
Primary Health Network Past Accepting new patients

Locations

650 East Ave
Erie, PA 16503
Phone (814) 455-5505

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

348 Main St
Greenville, PA 16125
Phone (724) 588-5250

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

Interoperability endpoints

  • Direct secure messaging: deborahgosnell@primaryhn.medalliesdirect.net

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.

Hospital & facility affiliations 4

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790738573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "724-376-7111",
            "fax_number": "724-376-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 S MAIN ST",
            "city": "SANDY LAKE",
            "state": "PA",
            "postal_code": "16145",
            "telephone_number": "724-376-7111",
            "fax_number": "724-376-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSNELL",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP004408B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000517675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Lake, PA

Sources for this page

Verify at the official NPI Registry.