Individual provider Active NPI

Ellen D. Gerace, CRNP

  • Family Nurse Practitioner
  • Beaver Falls, PA
National Provider Identifier
1962740118
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012769 Issued in PA
Practice address
2580 Constitution Blvd
Beaver Falls, PA 15010
Phone
(724) 770-7999
Fax
(724) 843-1514
NPI assigned
Jan 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN276641L PA
Family Nurse Practitioner 363LF0000X SP012769 PA Primary

Addresses

Primary practice location

2580 Constitution Blvd
Beaver Falls, PA 15010

Mailing address

2580 Constitution Blvd
Beaver Falls, PA 15010-1294
Phone (724) 770-7999

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
I20130320000316 PA Practitioner - Nurse Practitioner 5294970398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Valley Multispecialty Group IncGroup PAC ID 0042105678, 229 clinicians

Practice addresses (Care Compare)

2580 Constitution Blvd
Beaver Falls, PA 15010-1294
Phone (724) 843-4700

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Hospital & facility affiliations

  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN276641LPAMDFamily Nurse Practitioner
SP012769PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Mar 1, 2013 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Mar 1, 2013 Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

1000 Dutch Ridge Rd
Ofc
Beaver, PA 15009
Phone (724) 773-2014

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

2580 Constitution Blvd
Beaver Falls, PA 15010
Phone (724) 770-7999

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Interoperability endpoints

  • Direct secure messaging: ellengerace@hvhs.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1962740118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 CONSTITUTION BLVD",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101294",
            "telephone_number": "724-770-7999",
            "fax_number": "724-843-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 CONSTITUTION BLVD",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "15010",
            "telephone_number": "724-770-7999",
            "fax_number": "724-843-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERACE",
        "first_name": "ELLEN",
        "middle_name": "D.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "RN276641L",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

Verify at the official NPI Registry.