Individual provider Active NPI

Crystal Marie Visco Wadsworth, MSN, CRNP, FNP-C

  • Nurse Practitioner
  • Greensburg, PA
National Provider Identifier
1912873415
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP034043 Issued in PA
Practice address
118 Nature Park Rd
Greensburg, PA 15601-6960
Phone
(412) 515-2239
Fax
(724) 689-0561
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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 SP034043 PA Primary

Addresses

Primary practice location

118 Nature Park Rd
Greensburg, PA 15601-6960

Mailing address

118 Nature Park Rd
Greensburg, PA 15601-6960

Other practice location 1

2828 Broadway Blvd Ste 1
Monroeville, PA 15146-4675
Phone (724) 407-8173

Other names 1

  • Crystal Marie Wadsworth Former 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
I20260325001075 PA Practitioner - Nurse Practitioner 8628552841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

118 Nature Park Rd
Suite 200
Greensburg, PA 15601-6960
Phone (412) 359-5810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
SP034043PAMDNurse Practitioner

Organizations & group practices 1

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": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1912873415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 NATURE PARK RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 NATURE PARK RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016960",
            "telephone_number": "412-515-2239",
            "fax_number": "724-689-0561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 Broadway Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151464675",
            "country_code": "US",
            "telephone_number": "724-407-8173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISCO WADSWORTH",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "credential": "MSN, CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP034043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "WADSWORTH",
            "middle_name": "MARIE",
            "credential": "MSN, CRNP, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.