Individual provider Active NPI

Aaron Shivok Diamond, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1861275612
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP027944 Issued in PA
Practice address
425 Center St
Bethlehem, PA 18018-6016
Phone
(908) 319-3561
NPI assigned
Aug 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP027944 PA Primary

Addresses

Primary practice location

425 Center St
Bethlehem, PA 18018-6016

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (814) 938-3310

Other practice location 1

200 Prushnok Dr
Punxsutawney, PA 15767-2343
Phone (814) 938-3310

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
I20240510001251 PA Practitioner - Nurse Practitioner 4688015472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health NetworkGroup PAC ID 9234046228, 64 clinicians

Practice addresses (Care Compare)

29 Saltsburg Rd
Clarksburg, PA 15725-7400
Phone (724) 726-0300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027944PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Apr 30, 2024 Accepting new patients
Primary Health Network CurrentSince Apr 30, 2024 Accepting new patients

Locations

29 Saltsburg Rd
Clarksburg, PA 15725
Phone (724) 726-0300

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

200 Prushnok Dr
Punxsutawney, PA 15767
Phone (814) 938-3310

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

Interoperability endpoints

  • Direct secure messaging: aarondiamond@primaryhn.medalliesdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1861275612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "814-938-3310",
            "fax_number": "814-938-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CENTER ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186016",
            "telephone_number": "908-319-3561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Prushnok Dr",
            "address_purpose": "LOCATION",
            "city": "Punxsutawney",
            "state": "PA",
            "postal_code": "157672343",
            "country_code": "US",
            "telephone_number": "814-938-3310",
            "fax_number": "814-938-6804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "AARON",
        "middle_name": "SHIVOK",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.