Individual provider Active NPI

Patrick Joseph Kwasny, CRNP

  • Family Nurse Practitioner
  • Greensburg, PA
National Provider Identifier
1891062626
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011617 Issued in PA
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919003233 WV Practitioner - Nurse Practitioner 7618239849 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus CurrentSince Sep 1, 2023 Accepting new patients
Matrix Medical Network of West CurrentSince Aug 9, 2023 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.

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

Verify at the official NPI Registry.