MICHELLE R HALLSTROM (NPI# 1043528953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043528953 |
| Entity Type | Individual |
| Full Name | MICHELLE R HALLSTROM |
| Credential | CRNP |
| Practice Address |
89 Beaver Dr Du Bois PA 15801-2425 |
| Practice Telephone | 8143714524 |
| Practice Fax Number | 8143710331 |
| Mailing Telephone | 8143714524 |
| Mailing Fax Number | 8143710331 |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP010892 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
89 BEAVER DR |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366557845 | Laun Robert Hallstrom | Physical Medicine & Rehabilitation | 89 Beaver Dr, Du Bois, PA 15801-2425 | 2006-08-21 |
| 1174187801 | Upmc Community Medicine, Inc. | Pain Medicine | 89 Beaver Dr, Du Bois, PA 15801-2425 | 2019-04-29 |
| 1790897163 | Mark E Galiczynski | Physician Assistant | 89 Beaver Dr, Du Bois, PA 15801-2425 | 2006-08-31 |
| 1801908264 | Lynn A Myers | Physical Medicine & Rehabilitation | 89 Beaver Dr, Du Bois, PA 15801-2425 | 2006-08-31 |
| 1831201227 | Summit Rehabilitation Associates, P.C. | Physical Medicine & Rehabilitation | 89 Beaver Dr, Du Bois, PA 15801-2425 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979336 | Denise A Pfingstler | Nurse Practitioner | 190 W Park Ave Ste 6, Du Bois, PA 15801-2277 | 2018-10-24 |
| 1639692148 | Keli Yvonne Simpson | Nurse Practitioner | 33 Beaver Dr Ste 1, Du Bois, PA 15801-2434 | 2017-07-18 |
| 1063828952 | Jennifer Feldbauer | Nurse Practitioner | 145 Hospital Ave Ste 215, Du Bois, PA 15801-1464 | 2014-07-11 |
| 1710517560 | Todd Ryan Sudik | Nurse Practitioner | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-01-21 |
| 1154805349 | Jo Dee Mulhollan | Nurse Practitioner | 621 S Main St, Du Bois, PA 15801-1413 | 2018-09-24 |
| 1033692546 | Zeke David Feyock | Nurse Practitioner | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2018-09-11 |
| 1639656606 | Sara Elizabeth Wolbert | Nurse Practitioner | 621 S Main St, Du Bois, PA 15801 | 2018-07-23 |
| 1700334141 | Amanda Greenblatt | Nurse Practitioner | 33 Beaver Dr, Ste 1, Du Bois, PA 15801-2434 | 2016-09-14 |
| 1922471556 | Dawn Renee Jeannerat | Nurse Practitioner | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2015-11-04 |
| 1548664881 | Melissa Wingard Miller | Nurse Practitioner | 145 Hospital Ave, Medical Arts Building, Suite 101, Du Bois, PA 15801-1462 | 2014-10-15 |
| Find all providers in DU BOIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.