Active NPI
Deborah L Gosnell, CRNP
- Family Nurse Practitioner
- Sandy Lake, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- TP004408B
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000517675 | Other | OH | ANTHEM 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Network
Practice addresses (Care Compare)
3339 Perry Hwy
Sheakleyville, PA 16151-0178
Phone (724) 253-3428
Hospital & facility affiliations
- Upmc Horizon
- Meadville Medical Center
- Grove City Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Health Network | Current | Accepting new patients | |
| Primary Health Network | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Emlenton, PA
- NPI 1750181038
-
- Federally Qualified Health Center (FQHC)
- Sheakleyville, PA
- NPI 1295867620
-
- Federally Qualified Health Center (FQHC)
- Mercer, PA
- NPI 1447382296
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.