Jeanette M Elliott, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP004999W Issued in PA

Practice address

850 Hospital Rd
Suite 1300
Indiana, PA 15701-3662

Phone

(724) 349-9444

Fax

(724) 465-4072

NPI assigned

Apr 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1871559427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "QUANTUM ONE, N431",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-5806",
            "fax_number": "412-432-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HOSPITAL RD",
            "address_2": "SUITE 1300",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013662",
            "telephone_number": "724-349-9444",
            "fax_number": "724-465-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JEANETTE",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP004999W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11647020",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY BLUE",
            "identifier": "166646",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Louise Edwards, DMD
• Gary Ross Eggler, D.M.D.
• Susan A Eisenman, MD
• Eleos Counseling LLC
• Paula M Eller, RN BSN MS FNP-C
• Chloe Elizabeth Erb
• Amy Lee Erskine
• Maria Eshelman, RN. BSN
• Yolanda Espinosa, P.T.
• Alexander Reed Eutsey, PHARMD

• Nurse Practitioner in Indiana, PA
• Providers in Indiana, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.