NPIMap

Individual provider Active NPI

Shawnaa L Rutkowsky, CRNP

  • Family Nurse Practitioner
  • Greensburg, PA
National Provider Identifier
1801249420
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016321 Issued in PA
Practice address
545 Rugh St
Greensburg, PA 15601-5636
Phone
(724) 836-5500
Fax
(724) 836-3286
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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 SP016321 PA Primary

Addresses

Primary practice location

545 Rugh St
Greensburg, PA 15601-5636

Mailing address

545 Rugh St
Greensburg, PA 15601-5636
Phone (724) 836-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160915000417 PA Practitioner - Nurse Practitioner 9032405139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

530 S St
Suite G20
Greensburg, PA 15601-2779
Phone (724) 836-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016321PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

530 South St
Ste G20
Greensburg, PA 15601
Phone (724) 832-9190

508 S Church St
Ste 100
Mt Pleasant, PA 15666
Phone (724) 547-4536

Interoperability endpoints

  • Direct secure messaging: shawnaarutkowsky@emg.allscriptsdirect.net

Organizations & group practices 5

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1801249420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 RUGH ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015636",
            "telephone_number": "724-836-5500",
            "fax_number": "724-836-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 RUGH ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015636",
            "telephone_number": "724-836-5500",
            "fax_number": "724-836-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKOWSKY",
        "first_name": "SHAWNAA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.