Individual provider Active NPI

Mary Esther Kanfoush, CRNP

  • Family Nurse Practitioner
  • Ellwood City, PA
National Provider Identifier
1811224439
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP010542 Issued in PA
Practice address
271 State Route 288
Ellwood City, PA 16117-3055
Phone
(724) 773-4681
Fax
(724) 770-7966
NPI assigned
Nov 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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 SP010542 PA Primary

Addresses

Primary practice location

271 State Route 288
Ellwood City, PA 16117-3055

Mailing address

200 Ohio River Blvd
Baden, PA 15005-1914
Phone (724) 773-6802

Other names 1

  • Mary Esther Rodgers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100203000735 PA Practitioner - Nurse Practitioner 2466595194 Reassigns benefits to 2 organizations
I20240426002443 NE Practitioner - Nurse Practitioner 2466595194

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Valley Multispecialty Group IncGroup PAC ID 0042105678, 229 clinicians

Practice addresses (Care Compare)

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Hospital & facility affiliations

  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP010542PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Nov 15, 2009 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 4, 2024 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Nov 15, 2009 Accepting new patients
Heritage Valley Medical Group, Inc. Past Accepting new patients
Muc-Papillion LLC PastSince Mar 23, 2024 Accepting new patients

Locations

200 Ohio River Blvd
Baden, PA 15005

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

2580 Constitution Blvd
Beaver Falls, PA 15010
Phone (724) 770-7999

273 State Route 288
Ellwood City, PA 16117
Phone (724) 758-7044

271 State Route 288
Ellwood City, PA 16117
Phone (724) 773-4681

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: marykanfoush@hvhs.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1811224439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OHIO RIVER BLVD",
            "city": "BADEN",
            "state": "PA",
            "postal_code": "150051914",
            "telephone_number": "724-773-6802",
            "fax_number": "724-770-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 STATE ROUTE 288",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161173055",
            "telephone_number": "724-773-4681",
            "fax_number": "724-770-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANFOUSH",
        "first_name": "MARY",
        "middle_name": "ESTHER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "RODGERS",
            "middle_name": "ESTHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellwood City, PA

Sources for this page

Verify at the official NPI Registry.