NPIMap

Individual provider Active NPI

William F Wittman, CRNP

  • Nurse Practitioner
  • Emporium, PA
National Provider Identifier
1801853064
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
TP006174 B Issued in PA
Practice address
416 N Broad St
Emporium, PA 15834-1402
Phone
(814) 486-2202
Fax
(814) 486-0973
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X TP006174 B PA Primary

Addresses

Primary practice location

416 N Broad St
Emporium, PA 15834-1402

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 486-2202

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
I20041104001052 PA Practitioner - Nurse Practitioner 3476516089 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

145 Hospital Ave
Suite 315
Du Bois, PA 15801-1465
Phone (814) 503-4305

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

761 Johnsonburg Rd
Saint Marys, PA 15857-3480
Phone (814) 788-8220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP006174 BPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elk Regional Health Center CurrentSince Nov 1, 2020 Accepting new patients
Brookville Hospital Nurse Practitioner CurrentSince Mar 4, 2019 Accepting new patients
Dubois Regional Medical Center CurrentSince May 20, 2014 Accepting new patients
Elk Regional Health Center Nurse Practitioner CurrentSince Nov 1, 2020 Accepting new patients
Dubois Regional Medical Center CurrentSince May 20, 2014 Accepting new patients
Brookville Hospital Nurse Practitioner CurrentSince Mar 4, 2019 Accepting new patients
Dubois Regional Medical Center Nurse Practitioner Past Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

145 Hospital Ave
Ste 102
Dubois, PA 15801
Phone (814) 375-6510

416 N Broad St
Emporium, PA 15834
Phone (814) 486-2202

111 Cobb St
Johnsonburg, PA 15845
Phone (814) 965-2857

271 Railroad St
Philipsburg, PA 16866
Phone (814) 342-1872

1100 Million Dollar Hwy
Saint Marys, PA 15857
Phone (814) 781-5435

761 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 781-7500

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

Interoperability endpoints

  • Direct secure messaging: wfwittman@1285.direct.myezyaccess.com

Organizations & group practices 7

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1801853064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-486-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BROAD ST",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158341402",
            "telephone_number": "814-486-2202",
            "fax_number": "814-486-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMAN",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP006174 B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporium, PA

Sources for this page

Verify at the official NPI Registry.