Individual provider Active NPI

Mandy Marie Elbayly, CRNP

  • Family Nurse Practitioner
  • Johnstown, PA
National Provider Identifier
1982213724
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021953 Issued in PA
Practice address
1020 Franklin St
Johnstown, PA 15905-4109
Phone
(814) 534-9132
NPI assigned
Jul 28, 2020
Last updated
Jul 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP021953 PA Primary

Addresses

Primary practice location

1020 Franklin St
Johnstown, PA 15905-4109

Mailing address

1020 Franklin St
Johnstown, PA 15905-4109
Phone (814) 534-9132

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
I20200923000224 PA Practitioner - Nurse Practitioner 6002235199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windber Hospital IncGroup PAC ID 9234187576, 37 clinicians

Practice addresses (Care Compare)

600 Somerset Ave
Windber, PA 15963-1331
Phone (814) 467-3176

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Oct 1, 2020 Accepting new patients
Windber Hospital, Inc CurrentSince Mar 18, 2024 Accepting new patients
Windber Hospital, Inc. CurrentSince Mar 18, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Oct 1, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

615 Howard Ave
Ste 209
Altoona, PA 16601

1020 Franklin St
Johnstown, PA 15905
Phone (814) 533-1095

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

600 Somerset Ave
Windber, PA 15963
Phone (814) 467-3000

Organizations & group practices 6

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 2

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1982213724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054109",
            "telephone_number": "814-534-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054109",
            "telephone_number": "814-534-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBAYLY",
        "first_name": "MANDY",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.