Theresa Ann Macblane

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP027360 Issued in PA

Practice address

2501 Warren Rd
Indiana, PA 15701-3280

Phone

(724) 349-5620

NPI assigned

Mar 24, 2023

Last updated

Apr 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

83.44 of 100Reported as group

Quality

78.68

Improvement activities

40

Cost

83.9

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1932802303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 WARREN RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013280",
            "telephone_number": "724-349-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WARREN RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013280",
            "telephone_number": "724-349-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACBLANE",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027360",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP027360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica Retail North America Inc (Sears Optical #C0637)
• Cayla Lyle, DO
• Gregory J Lynch, D.O.
• Melanie Lynne Lynn
• Nichole Lynn Lysick, D.O.
• Alana M Macchiaroli, CRNA
• Joseph A Macchiaroli, MD
• Jamie Marie Mack, LSW
• Kevin D Mack, DC
• Teah Mack

• Family Nurse Practitioner in Indiana, PA
• Providers in Indiana, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.