Individual provider Active NPI

Cheryl A Mongera, CRNP

  • Nurse Practitioner
  • Corry, PA
National Provider Identifier
1942288238
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
TP003848B Issued in PA
Practice address
300 York St
Suite B
Corry, PA 16407-1420
Phone
(814) 664-3979
Fax
(814) 663-4879
NPI assigned
Jan 6, 2006
Last updated
Nov 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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 TP003848B PA Primary

Addresses

Primary practice location

300 York St
Suite B
Corry, PA 16407-1420

Mailing address

300 York St
Suite B
Corry, PA 16407-1420
Phone (814) 664-3979

Other identifiers 3

IdentifierTypeStateIssuer
00026526801OtherNYUNIVERA HEALTHCARE
1992788012OtherORGANIZATION TAX ID/NPI
9511964OtherNYINDEPENDENT HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP003848BPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Physicians Network PC Past Accepting new patients
Susan M Kaufman DO Past Accepting new patients

Organizations & group practices 2

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1942288238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 YORK ST",
            "address_2": "SUITE B",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071420",
            "telephone_number": "814-664-3979",
            "fax_number": "814-663-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 YORK ST",
            "address_2": "SUITE B",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071420",
            "telephone_number": "814-664-3979",
            "fax_number": "814-663-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGERA",
        "first_name": "CHERYL",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP003848B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00026526801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION TAX ID/NPI",
            "identifier": "1992788012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9511964",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corry, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.