Active NPI
Rebecca L Timczyk, CRNP
- Adult Health Nurse Practitioner
- Connellsville, PA
National Provider Identifier
1831538859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP012719
- Practice address
- 2614 Memorial Blvd
A
Connellsville, PA 15425-1405 - Phone
- (724) 603-3560
- NPI assigned
- Jun 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP012719 | PA | Primary |
Addresses
Primary practice location
2614 Memorial Blvd
A
Connellsville, PA 15425-1405
Mailing address
2614 Memorial Blvd
A
Connellsville, PA 15425-1405
Phone (724) 603-3560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1027926200001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1831538859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2614 MEMORIAL BLVD",
"address_2": "A",
"city": "CONNELLSVILLE",
"state": "PA",
"postal_code": "154251405",
"telephone_number": "724-603-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2614 MEMORIAL BLVD",
"address_2": "A",
"city": "CONNELLSVILLE",
"state": "PA",
"postal_code": "154251405",
"telephone_number": "724-603-3560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMCZYK",
"first_name": "REBECCA",
"middle_name": "L",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-24",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP012719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1027926200001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Connellsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.