NPIMap

Individual provider Active NPI

Darren Petrunak, CRNP

  • Family Nurse Practitioner
  • Altoona, PA
National Provider Identifier
1972251833
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025483 Issued in PA
Practice address
1701 12TH Ave
Altoona, PA 16601-3100
Phone
(814) 942-9600
Fax
(814) 942-9617
NPI assigned
Mar 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP025483 PA
Family Nurse Practitioner 363LF0000X SP025483 PA Primary

Addresses

Primary practice location

1701 12TH Ave
Altoona, PA 16601-3100

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (814) 942-9600

Other practice location 1

1850 E Park Ave Ste 312
State College, PA 16803-6706
Phone (814) 689-3156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220404001288 PA Practitioner - Nurse Practitioner 3476949264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health NetworkGroup PAC ID 9234046228, 64 clinicians

Practice addresses (Care Compare)

1701 12TH Ave
Altoona, PA 16601-3100
Phone (814) 942-9600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP025483PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Sep 23, 2024 Accepting new patients
Mount Nittany Medical Center Health Services Inc Nurse Practitioner CurrentSince Mar 21, 2022 Accepting new patients
Primary Health Network CurrentSince Sep 23, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Primary Health Network Past Accepting new patients

Locations

1701 12th Ave
Altoona, PA 16601
Phone (814) 942-9600

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

152 Zeman Dr
Ste 301
Ebensburg, PA 15931
Phone (814) 846-5060

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

143 Hospital Dr
Ste 312
State College, PA 16803
Phone (814) 235-2480

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

Interoperability endpoints

  • Direct secure messaging: darrenpetrunak@primaryhn.medalliesdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1972251833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "814-942-9600",
            "fax_number": "814-942-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 12TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013100",
            "telephone_number": "814-942-9600",
            "fax_number": "814-942-9617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 E Park Ave Ste 312",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036706",
            "country_code": "US",
            "telephone_number": "814-689-3156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRUNAK",
        "first_name": "DARREN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-10",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP025483",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.