FRED M POWELL CRNP NPI 1730637794

NPI Information

NPI: 1730637794
Provider Name: FRED M POWELL, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
100 WILSON RD
BENTLEYVILLE, PA
ZIP 15314
Phone: (724) 239-2390
Get Directions

Fred M Powell, CRNP is a family nurse practitioner in Bentleyville, PA. Fred M Powell, CRNP NPI is 1730637794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 WILSON RD
BENTLEYVILLE, PA
ZIP 15314-028
Phone: (724) 239-2390
Fax: (724) 239-2393

The NPI 1730637794 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/19/2016 and was last updated on 9/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	SP016579	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	391827	OTHER	PENNSYLVANIA	FQHC
2	1007288440030	MEDICAID	PENNSYLVANIA
3	391902	OTHER	PENNSYLVANIA	FQHC
4	391809	OTHER	PENNSYLVANIA	FQHC
5	1007288440105	MEDICAID	PENNSYLVANIA
6	014582	OTHER	PENNSYLVANIA	CAMP HILL MEDICARE
7	1007288440104	MEDICAID	PENNSYLVANIA
8	1007288440027	MEDICAID	PENNSYLVANIA
9	391812	OTHER	PENNSYLVANIA	FQHC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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