Active NPI
Patrick Joseph Kwasny, CRNP
- Family Nurse Practitioner
- Greensburg, PA
National Provider Identifier
1891062626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP011617
- Practice address
- 5274 Route 30
Unit 10
Greensburg, PA 15601-7833 - Phone
- (724) 216-0317
- Fax
- (724) 837-0271
- NPI assigned
- Nov 22, 2011
- Last updated
- Dec 8, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP011617 | PA | Primary |
Addresses
Primary practice location
5274 Route 30
Unit 10
Greensburg, PA 15601-7833
Mailing address
5274 Route 30
Unit 10
Greensburg, PA 15601-7833
Phone (724) 216-0317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Medical Plus | Current | Accepting new patients | |
| Matrix Medical Network of West | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
209 Washington St W
Charleston, WV 25302
Phone 24852821166
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Matrix Medical Network
- Nurse Practitioner
- Scottsdale, AZ
- NPI 1942569033
WV
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1891062626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5274 ROUTE 30",
"address_2": "UNIT 10",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156017833",
"telephone_number": "724-216-0317",
"fax_number": "724-837-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5274 ROUTE 30",
"address_2": "UNIT 10",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156017833",
"telephone_number": "724-216-0317",
"fax_number": "724-837-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWASNY",
"first_name": "PATRICK",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-22",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP011617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.