Individual provider Active NPI

Jennifer D Angert, CRNP

  • Nurse Practitioner
  • Butler, PA
National Provider Identifier
1891980108
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP009469 Issued in PA
Practice address
901 East Brady St
Suite 103
Butler, PA 16001
Phone
(724) 282-1627
Fax
(724) 282-4810
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP009469 PA Primary

Addresses

Primary practice location

901 East Brady St
Suite 103
Butler, PA 16001

Mailing address

901 East Brady St
Suite 103
Butler, PA 16001
Phone (724) 282-1627

Other names 1

  • Jennifer D Burke Other name

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
I20070918000021 PA Practitioner - Nurse Practitioner 6103910492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PBS Mental Health Associates PCGroup PAC ID 8022068063, 10 clinicians

Practice addresses (Care Compare)

901 E Brady St
Suite 103
Butler, PA 16001-4649
Phone (724) 282-1627

Hospital & facility affiliations

  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP009469PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers CurrentSince Nov 1, 2018 Accepting new patients
PBS Mental Health Associates, P.C. CurrentSince Jul 26, 2007 Accepting new patients
Butler Medical Providers CurrentSince Nov 1, 2018 Accepting new patients

Locations

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

901 E Brady St
Ste 103
Butler, PA 16001
Phone (724) 282-1627

Organizations & group practices 4

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 3

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": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1891980108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 EAST BRADY ST",
            "address_2": "SUITE 103",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "724-282-1627",
            "fax_number": "724-282-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 EAST BRADY ST",
            "address_2": "SUITE 103",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "724-282-1627",
            "fax_number": "724-282-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGERT",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BURKE",
            "middle_name": "D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.