Individual provider Active NPI

Marcia J Bathurst, MSN, CRNP, RN

  • Nurse Practitioner
  • Ebensburg, PA
National Provider Identifier
1912932963
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
TP004838B Issued in PA
Practice address
881 Hills PLZ
Suite 530
Ebensburg, PA 15931-4213
Phone
(814) 419-8084
Fax
(814) 419-8053
NPI assigned
Jul 11, 2006
Last updated
Nov 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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 TP004838B PA Primary

Addresses

Primary practice location

881 Hills PLZ
Suite 530
Ebensburg, PA 15931-4213

Mailing address

881 Hills PLZ
Suite 530
Ebensburg, PA 15931-4213
Phone (814) 419-8084

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
I20110215000174 PA Practitioner - Nurse Practitioner 8820278401 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
TP004838BPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Qofl Services LLC Nurse Practitioner CurrentSince Jun 25, 2015 Accepting new patients
Blair County Anesthesia, P.C. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Lexington Anesthesia Associates, Inc. Past Accepting new patients

Locations

429 Manor Dr
Ebensburg, PA 15931
Phone (814) 472-6060

Interoperability endpoints

  • Direct secure messaging: marcia.bathurst.1@14940.direct.athenahealth.com

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, 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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1912932963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 HILLS PLZ",
            "address_2": "SUITE 530",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314213",
            "telephone_number": "814-419-8084",
            "fax_number": "814-419-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 HILLS PLZ",
            "address_2": "SUITE 530",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314213",
            "telephone_number": "814-419-8084",
            "fax_number": "814-419-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHURST",
        "first_name": "MARCIA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MSN, CRNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP004838B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

Verify at the official NPI Registry.