| Kelly J Stoddart, CRNP | |
|
1535 W 26th St Ste A, Erie, PA 16508-1357 | |
| (814) 314-2315 | |
| (814) 556-2109 |
| Full Name | Kelly J Stoddart |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1535 W 26th St Ste A, Erie, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275903130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP015208 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Vincent Hospital | Erie, PA | Hospital |
| Upmc Hamot Hospital | Erie, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Keystone Rehabilitation Systems Inc | 7012826753 | 609 |
| Osh - Pa Physicians Group, Pc | 7517213879 | 101 |
| Entity Name | Osh - Pa Physicians Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811405533 PECOS PAC ID: 7517213879 Enrollment ID: O20180629000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly J Stoddart, CRNP Po Box 746723, Atlanta, GA 30374-6723 Ph: (312) 733-9730 | Kelly J Stoddart, CRNP 1535 W 26th St Ste A, Erie, PA 16508-1357 Ph: (814) 314-2315 |
Tatyana Kryachkov, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3250 W Lake Rd., Suite 2, Erie, PA 16505 Phone: 814-790-4567 Fax: 814-295-4074 | |
Siena I Cook, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 W 12th St Ste C, Erie, PA 16505 Phone: 814-877-8730 Fax: 814-877-8731 | |
Elisabeth Cummings, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2315 Myrtle St Ste 190, Erie, PA 16502 Phone: 814-453-7767 Fax: 814-454-6667 | |
Jennifer Flo Norris, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4120 Westminster Blvd, Erie, PA 16506 Phone: 814-440-2278 | |
Devon Singh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 E 2nd St Fl 2, 2nd Floor, Erie, PA 16507 Phone: 814-456-8980 | |
Lynn Gates, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922 | |
Nicole Friedl, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922 |