| Nicholas Samuel Krajacic, CRNP | |
|
1700 Old Gatesburg Rd Ste 310, State College, PA 16803-2276 | |
| (814) 237-3122 | |
| Not Available |
| Full Name | Nicholas Samuel Krajacic |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1700 Old Gatesburg Rd Ste 310, State College, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457114399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP029207 (Pennsylvania) | Primary |
| Entity Name | Mount Nittany Medical Center Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164691499 PECOS PAC ID: 8426136797 Enrollment ID: O20081021000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Samuel Krajacic, CRNP 1800 E Park Ave, State College, PA 16803-6701 Ph: (814) 231-7000 | Nicholas Samuel Krajacic, CRNP 1700 Old Gatesburg Rd Ste 310, State College, PA 16803-2276 Ph: (814) 237-3122 |
Melissa Ann Wallace, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 University Dr, State College, PA 16801 Phone: 814-238-8418 Fax: 814-234-2888 | |
Katy Nelson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 476 Rolling Ridge Dr, State College, PA 16801 Phone: 814-689-4980 | |
Kimberly Anne Handel, MSN, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 E Park Ave, Suite 310, State College, PA 16803 Phone: 814-863-8492 | |
Megan Waite, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-231-7000 | |
Michelle M. Black, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Radnor Rd Ste 100, State College, PA 16801 Phone: 814-231-7868 Fax: 814-238-4169 | |
Karen E. Cherinka, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 E Park Ave Ste 312, State College, PA 16803 Phone: 814-689-3156 Fax: 814-689-1954 | |
Jennifer Nicole Bailey, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 Elmore Research Wing, University Park, State College, PA 16802 Phone: 814-865-4302 Fax: 814-865-0351 |