Individual provider Active NPI

Carmen Mae Ayers, CRNP

  • Family Nurse Practitioner
  • Johnstown, PA
National Provider Identifier
1851832869
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017054 Issued in PA
Practice address
136 Jaycee Drive
Suite 10
Johnstown, PA 15904-3650
Phone
(814) 243-0066
NPI assigned
Mar 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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 SP017054 PA Primary

Addresses

Primary practice location

136 Jaycee Drive
Suite 10
Johnstown, PA 15904-3650

Mailing address

136 Jaycee Drive
Suite 10
Johnstown, PA 15904-3650
Phone (814) 243-0066

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170817001885 PA Practitioner - Nurse Practitioner 7214209774 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gynecology Care Specialists LLCGroup PAC ID 7315335767, 3 clinicians

Practice addresses (Care Compare)

136 Jaycee Dr
Suite 10
Johnstown, PA 15904-3650
Phone (814) 961-6180

Hospital & facility affiliations

  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110
  • Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Jun 7, 2017 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jun 7, 2017 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Apr 15, 2018 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Apr 15, 2018 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Current Accepting new patients
Gynecology Care Specialists, LLC CurrentSince Oct 20, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1111 Franklin St
Ste 300
Johnstown, PA 15905
Phone (814) 534-9203

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

136 Jaycee Dr
Ste 10
Johnstown, PA 15904
Phone (814) 467-4055

1111 Franklin St
Ste 410
Johnstown, PA 15905
Phone (814) 536-7851

Interoperability endpoints

  • Direct secure messaging: carmenayerscrnp@mygynecare.medentdirect.com

Organizations & group practices 8

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 2

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": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1851832869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 JAYCEE DRIVE",
            "address_2": "SUITE 10",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043650",
            "telephone_number": "814-243-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 JAYCEE DRIVE",
            "address_2": "SUITE 10",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043650",
            "telephone_number": "814-243-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYERS",
        "first_name": "CARMEN",
        "middle_name": "MAE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.