FRED M POWELL CRNP NPI 1730637794

NPI Information

  • NPI: 1730637794
  • Provider Name: FRED M POWELL, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 WILSON RD
    BENTLEYVILLE, PA
    ZIP 15314
  • Phone: (724) 239-2390

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NPI Details

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 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
1363LF0000XNurse PractitionerFamilySP016579PENNSYLVANIAYes

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
1391827OTHERPENNSYLVANIAFQHC
21007288440030MEDICAIDPENNSYLVANIA
3391902OTHERPENNSYLVANIAFQHC
4391809OTHERPENNSYLVANIAFQHC
51007288440105MEDICAIDPENNSYLVANIA
6014582OTHERPENNSYLVANIACAMP HILL MEDICARE
71007288440104MEDICAIDPENNSYLVANIA
81007288440027MEDICAIDPENNSYLVANIA
9391812OTHERPENNSYLVANIAFQHC

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: 11/21/2025

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