Individual provider Active NPI

Brandon Hinderliter, CRNP

  • Family Nurse Practitioner
  • Indiana, PA
National Provider Identifier
1932690583
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018519 Issued in PA
Practice address
835 Hospital Rd
Indiana, PA 15701-3629
Phone
(724) 357-7000
NPI assigned
May 18, 2018
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN631073 PA
Family Nurse Practitioner 363LF0000X SP018519 PA Primary

Addresses

Primary practice location

835 Hospital Rd
Indiana, PA 15701-3629

Mailing address

PO Box 121
Summerhill, PA 15958-0121

Other practice location 1

1221 Scalp Ave
Johnstown, PA 15904-3150
Phone (814) 266-1138

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
I20190401002011 PA Practitioner - Nurse Practitioner 8729329776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irmc - Premier LLCGroup PAC ID 2567949407, 13 clinicians
Premier Express Care LLCGroup PAC ID 6406364637, 7 clinicians

Practice addresses (Care Compare)

216 Glessner St
Ligonier, PA 15658-1271
Phone (724) 995-8012

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN631073PAMDRegistered Nurse
SP018519PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Irmc - Premier LLC CurrentSince Dec 24, 2025 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Sep 2, 2021 Accepting new patients
Premier Express Care LLC CurrentSince May 27, 2025 Accepting new patients
Urgent Care, PC - Pennsylvania CurrentSince Sep 2, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

1221 Scalp Ave
Johnstown, PA 15904
Phone (814) 248-1225

216 Glessner St
Ligonier, PA 15658
Phone (724) 995-8012

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1932690583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "SUMMERHILL",
            "state": "PA",
            "postal_code": "159580121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 HOSPITAL RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013629",
            "telephone_number": "724-357-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Scalp Ave",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159043150",
            "country_code": "US",
            "telephone_number": "814-266-1138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINDERLITER",
        "first_name": "BRANDON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN631073",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.